Fowler, Vincent Roy

Fowler, Vincent Roy is an individual health care provider with primary practice located at 9041 Magnolia Ave Ste 206 , Riverside CA 92503-3956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Fowler, Vincent Roy can be contacted via phone (951) 354-2220.

Contact Information

Primary practice address
9041 Magnolia Ave Ste 206 Riverside CA 92503-3956
Fax: (951) 354-2218
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A30049 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 42759 Arizona

Profile Details

NPI number 1548368749
LBN Legal business name Fowler, Vincent Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 14th, 2019 - about 7 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 1548368749 NPPES
California MEDICAID 00A300490

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