Individual
RACHEL FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2508
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD12739
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007060392
MEDICARE
RI
01
—
09/11/2008
NHPRI
RI
01
—
09/30/2008
BCBSRI
RI
01
—
12/29/2008
TUFTS HEALTH PLAN
MA
01
—
1851516819
NPI
RI
05
—
2159422
—
MA
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
05
—
RF72170
—
RI
Enumeration date
04/16/2007
Last updated
02/04/2010
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