Fowlkes, Elizabeth Rose

Fowlkes, Elizabeth Rose is an individual health care provider with primary practice located at 987400 Nebraska Medical Ctr , Omaha NE 68198-7400. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fowlkes, Elizabeth Rose can be contacted via phone (402) 559-6673.

Contact Information

Primary practice address
987400 Nebraska Medical Ctr Omaha NE 68198-7400
Phone: (402) 559-6673
Fax: (402) 559-8333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1501 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002181 Iowa

Profile Details

NPI number 1871811729
LBN Legal business name Fowlkes, Elizabeth Rose
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2010
Last updated Jun 8th, 2016 - about 10 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 1871811729 NPPES
Iowa Other 1871811729 WELLMARK BCBS OF IA

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