Dr. Jeremy Allan Fowler
Health Service
1100 N College Ave
Fayetteville
, Arkansas 72703-1944
Dr. Jeremy Allan Fowler
Health Service
1100 N College Ave
Fayetteville
, Arkansas 72703-1944
(479) 443-4301
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About
Features
Specialties
- Health Service
Languages spoken
- English
Location
First Address
- Dr. Jeremy Allan Fowler
- Po Box 2429
- Smyrna, TN
- Zip : 37167-1719
- Phone : (479) 443-4301
Second Address
- Dr. Jeremy Allan Fowler
- 1100 N College Ave
- Fayetteville, AR
- Zip : 72703-1944
- Phone : (844) 501-8387
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TH0100X | Health Service |
National Provider Identifier
| NPI | 1518502756 |
|---|---|
| Provider Name | Dr. Jeremy Allan Fowler |
| First Address | Smyrna, TN 37167-1719 |
| Second Address | Fayetteville, AR 72703-1944 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/11/2019 |
| Last Update Date | 12/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.