Fowler, Misty Dawn

Fowler, Misty Dawn is an individual health care provider with primary practice located at 1085 Maple St , Farmington MO 63640-1955. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fowler, Misty Dawn can be contacted via phone (573) 366-4659.

Contact Information

Primary practice address
1085 Maple St Farmington MO 63640-1955
Phone: (573) 366-4659
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1053095554
LBN Legal business name Fowler, Misty Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2023
Last updated Jun 14th, 2023 - 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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