Fowler, Sandra
Fowler, Sandra is an individual health care provider with primary practice located at 24 Antrim Commons Dr , Greencastle PA 17225-1623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fowler, Sandra can be contacted via phone (717) 597-5553.Contact Information
Primary practice address
24 Antrim Commons Dr
Greencastle PA 17225-1623
Phone: (717) 597-5553
Fax: (717) 597-5522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0050738 | Maryland |
Profile Details
| NPI number | 1417901752 |
|---|---|
| LBN Legal business name | Fowler, Sandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Feb 22nd, 2022 - about 4 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 | 1417901752 | NPPES |
| Maryland | MEDICAID | 415601000 | |
| Maryland | MEDICAID | 785200200 | |
| Maryland | Other | P00150022 |
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