Susan M Fowell is a Ophthalmology in Rockford, Illinois. Susan M Fowell practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Susan M Fowell is 1821091075. The last update date is 2017-07-06.
Susan M Fowell's current location address is 1235 N Mulford Rd, Rockford, Illinois. You can contact this provider via phone number 8152264990 and fax number 8152269472. The mailing address for Susan M Fowell is 1235 N Mulford Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M Fowell |
|---|---|
| Address | 1235 N Mulford Rd, Rockford, Illinois |
| Phone Number | 8152264990 |
| Fax Number | 8152269472 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1821091075 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2017-07-06 |
Provider Mailing Address Detail
| Address | 1235 N Mulford Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 6110738790 |
| Phone Number | 8152264990 |
| Fax Number | 8152269472 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 36073359 |
|
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 363734974 | IL | TAX ID# | |
| 36073359 | IL | -- | |
| 36073359 | IL | IL STATE LICENSE # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan M Fowell?
The Susan M Fowell has been issued the NPI (National Provider Identifier) 1821091075 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Susan M Fowell is geographically located?
The Susan M Fowell is physically situated at the following location: 1235 N Mulford Rd, Rockford, IL, 6110738790.
When did Susan M Fowell receive its 1821091075 assignment?
The Susan M Fowell was assigned its 1821091075 on 2005-05-23, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821091075 to Susan M Fowell?
The Centers for Medicare & Medicaid Services originally issued the 1821091075 to Susan M Fowell on 2005-05-23.
As of what date were the details pertaining to Susan M Fowell last refreshed?
The information related to the Susan M Fowell, including its address, specialty, and other relevant details, was last updated on 2017-07-06.
Address: 169 N Middletown Rd, Pearl River, NY
Address: 31519 Winterplace Pkwy, Salisbury, MD
Address: 1420 S 28th Ave, Hattiesburg, MS
Address: 155 Borthwick Ave, Portsmouth, NH
Address: 169 N Middletown Rd, Pearl River, NY
Address: 3415 Golden Rd, Tyler, TX
Address: 1400 Wellbrook Cir Ne, Conyers, GA
Address: 2880 Dauphin St, Mobile, AL
Address: Po Box 38157, Greensboro, NC
Address: 123 Hospital Dr, Watertown, WI
Address: 660 S Euclid Ave, Saint Louis, MO
Address: 3415 Golden Rd, Tyler, TX
Address: 1420 S 28th Ave, Hattiesburg, MS
Address: 1620 Country Club Rd, Valparaiso, IN
Address: 2935 Maple Ave, Zanesville, OH