MEDICARE: DR. PETER A FOWLER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NN0400X	Neurology Chiropractor	1238	MA
2	111N00000X	Chiropractor	265-0687B	NH

General Provider Information

NPI Number	:	1164513503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER A FOWLER DC

Provider Business Mailing Address
First Line	:	549 LAFAYETTE RD
Second Line	:
City	:	SEABROOK
State	:	NH
Zip	:	03874-4211
Country	:	US
Telephone Number	:	603-474-5400
Fax Number	:	603-474-2525

Provider Business Practice Location Address
First Line	:	549 LAFAYETTE RD
Second Line	:
City	:	SEABROOK
State	:	NH
Zip	:	03874-4211
Country	:	US
Telephone Number	:	603-474-5400
Fax Number	:	603-474-2525

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	01/10/2008

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