Fowles, George Philip
Fowles, George Philip is an sole proprietor health care provider with primary practice located at 3000 New Bern Ave Wakemed Neuropsychology, Raleigh NC 27610-1231. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Fowles, George Philip can be contacted via phone (919) 350-8866.Contact Information
Primary practice address
3000 New Bern Ave Wakemed Neuropsychology
Raleigh NC 27610-1231
Phone: (919) 350-8866
Fax: (919) 350-7130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 1260 | North Carolina |
Profile Details
| NPI number | 1396857025 |
|---|---|
| LBN Legal business name | Fowles, George Philip |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1396857025 | NPPES |
| North Carolina | MEDICAID | 046RM |
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