Individual
MR. PAUL JEFFREY FOWLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
30 MERRILL ST, AMESBURY, MA 01913-4307
(978) 388-2170
(978) 388-7172
Mailing address
30 MERRILL ST, AMESBURY, MA 01913-4307
(978) 388-2170
(978) 388-7172
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1357
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1610457
—
MA
01
—
Y35972
BCBS
MA
Enumeration date
06/30/2005
Last updated
07/08/2007
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