Stephen Martin Fowler in Middlefield - Sports Physician

Stephen Martin Fowler - NPI 1689660052

Stephen Martin Fowler is a Sports Physician in Middlefield, Connecticut. Stephen Martin Fowler practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Stephen Martin Fowler is 1689660052. The last update date is 2007-07-08.

Stephen Martin Fowler's current location address is 6 Way Rd, Middlefield, Connecticut. You can contact this provider via phone number 8603497034 and fax number 8603497093. The mailing address for Stephen Martin Fowler is 6 Way Rd, Middlefield, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Martin Fowler
Address 6 Way Rd, Middlefield, Connecticut
Phone Number 8603497034
Fax Number 8603497093
Sole Proprietor X
Credentials D.C.

NPI Number Detail

NPI Number 1689660052
Provider Enumeration Date 2005-09-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6 Way Rd
City Middlefield
State Connecticut (CT)
Post Code 64551080
Phone Number 8603497034
Fax Number 8603497093

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 1118
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
050001118CT01 CT BLUE SHIELD ID

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FAQs about Stephen Martin Fowler

What is the unique provider identifier assigned to Stephen Martin Fowler?

The Stephen Martin Fowler has been issued the NPI (National Provider Identifier) 1689660052 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Stephen Martin Fowler?

The Stephen Martin Fowler is physically situated at 6 Way Rd, in the city of Middlefield, state of CT, with the postal code 64551080.

What is Stephen Martin Fowler's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Stephen Martin Fowler's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.

On what date did the Centers for Medicare & Medicaid Services assign the 1689660052 to Stephen Martin Fowler?

The Centers for Medicare & Medicaid Services assigned the 1689660052 to Stephen Martin Fowler on 2005-09-21.

When was the Stephen Martin Fowler's information last updated?

The Stephen Martin Fowler's information was last updated on 2007-07-08.

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