Fowler-Mcdonald, Madre Lynnelle

Fowler-Mcdonald, Madre Lynnelle is an individual health care provider with primary practice located at 615 E Lawson St , Durham NC 27701-4533. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Fowler-Mcdonald, Madre Lynnelle can be contacted via phone (919) 604-3734.

Contact Information

Primary practice address
615 E Lawson St Durham NC 27701-4533
Fax: (616) 620-0671
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X HC3534 North Carolina

Profile Details

NPI number 1689726838
LBN Legal business name Fowler-Mcdonald, Madre Lynnelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689726838 NPPES
North Carolina MEDICAID 6601596

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