Fowler, Justin Jimmy
Fowler, Justin Jimmy is an sole proprietor health care provider with primary practice located at 905 Vickie Dr , Del City OK 73115-3949. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Fowler, Justin Jimmy can be contacted via phone (580) 559-6348.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 108084 | Oklahoma |
Profile Details
| NPI number | 1871138875 |
|---|---|
| LBN Legal business name | Fowler, Justin Jimmy |
| Credentials | APRN; CNP-F |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2019 |
| Last updated | Nov 13th, 2019 - about 7 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 | 1871138875 | NPPES |
| Oklahoma | Other | F082768098 | OKLAHOMA DRIVERS LICENSE |
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