Fowler, Matthew

Fowler, Matthew is an individual health care provider with primary practice located at 211 E Logan St Ste 301 , Caldwell ID 83605-4882. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Fowler, Matthew can be contacted via phone (208) 649-4315.

Contact Information

Primary practice address
211 E Logan St Ste 301 Caldwell ID 83605-4882
Phone: (208) 649-4315
Fax: (208) 649-4513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 63745 Idaho

Profile Details

NPI number 1053943688
LBN Legal business name Fowler, Matthew
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2020
Last updated Feb 21st, 2022 - about 3 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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