Fowler, Scott
Fowler, Scott is an individual health care provider with primary practice located at 105 W Stone Dr Ste 2B, Kingsport TN 37660-3256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fowler, Scott can be contacted via phone (423) 247-7500.Contact Information
Primary practice address
105 W Stone Dr Ste 2B
Kingsport TN 37660-3256
Phone: (423) 247-7500
Fax: (423) 245-4679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101235080 | Virginia |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD31800 | Tennessee |
Profile Details
| NPI number | 1073516886 |
|---|---|
| LBN Legal business name | Fowler, Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Sep 12th, 2013 - about 12 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 | 1073516886 | NPPES |
| Virginia | MEDICAID | 010169089 | |
| Virginia | MEDICAID | 3843403 |
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