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NPI Code Detail

MEDICARE: MR. PAUL JEFFREY FOWLER DC

MEDICARE:  MR. PAUL JEFFREY 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
1111N00000XChiropractor1357MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y35972OTHERMABCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558368951
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL JEFFREY FOWLER DC
Provider Business Mailing Address
First Line : 30 MERRILL ST
Second Line :
City : AMESBURY
State : MA
Zip : 01913-4307
Country : US
Telephone Number : 978-388-2170
Fax Number : 978-388-7172
Provider Business Practice Location Address
First Line : 30 MERRILL ST
Second Line :
City : AMESBURY
State : MA
Zip : 01913-4307
Country : US
Telephone Number : 978-388-2170
Fax Number : 978-388-7172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 07/08/2007

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Directions to “ MR. PAUL JEFFREY FOWLER DC” Practice Location

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