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
Phone: (951) 354-2220
Fax: (951) 354-2218
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548368749 | NPPES |
| California | MEDICAID | 00A300490 |
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