Fowler, Keith
Fowler, Keith is an sole proprietor health care provider with primary practice located at 3717 Meadow Vista Trl , Lithonia GA 30038-7736. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Fowler, Keith can be contacted via phone (404) 803-0110.Contact Information
Primary practice address
3717 Meadow Vista Trl
Lithonia GA 30038-7736
Phone: (404) 803-0110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X |
Profile Details
| NPI number | 1265532881 |
|---|---|
| LBN Legal business name | Fowler, Keith |
| Credentials | CSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
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