Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 265-0687B | NH |
N | 111NN0400X | Neurology | 1238 | MA |
NPI | 1164513503 |
---|---|
Provider Name | Dr. Peter A Fowler |
First Address | Seabrook, NH 03874-4211 |
Second Address | Seabrook, NH 03874-4211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 10/01/2008 |