Fowler, Justin
Fowler, Justin is an individual health care provider with primary practice located at 6165 W Emerald St , Boise ID 83704-8613. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Surgical Critical Care, Other Service Providers / Military Health Care Provider. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Fowler, Justin can be contacted via phone (208) 302-3900.Contact Information
Primary practice address
6165 W Emerald St
Boise ID 83704-8613
Phone: (208) 302-3900
Fax: (208) 302-3955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | M-13069 | Idaho |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | M-13069 | Idaho |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | MD2014-0304 | New Mexico |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 2016027259 | Missouri |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | Q6009 | Texas |
| Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
| NPI number | 1386835585 |
|---|---|
| LBN Legal business name | Fowler, Justin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Dec 16th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386835585 | NPPES |
| Missouri | Other | 2016027259 | MO LICENSE |
| Missouri | Other | 1L5640 | MO LICENSE |
| Missouri | Other | P02601779 | MO LICENSE |
| Missouri | MEDICAID | 390382503 | MO LICENSE |
Popular Providers
-
Strawn, Dale J
999 N Curtis Rd Suite 415, Boise ID 83706-1334 -
Hamlat, Christian A.
333 N 1St St. 1 , Boise ID 83702 -
John, Scott Michael
999 N Curtis Rd Ste 415 , Boise ID 83706-1334 -
Vlahakes, Gus J
Massachusetts General Hospital Cox652, Boston MA 02114 -
Pathak, Abhijit
3401 N Broad St , Philadelphia PA 19140-5103 -
Mentzer, Caleb James
1055 N Curtis Rd , Boise ID 83706-1309 -
Bennett, Ashley W
1070 N Curtis Rd Ste 270 , Boise ID 83706-1248 -
Blackbourne, Lorne Howar
2300 Round Rock Ave Ste 201 , Round Rock TX 78681-4026