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Contact Information

JACKSON M FOWLER
225 S GRAND AVE
1628
IOWA CITY, IA52242
 Phone: 319-335-9847
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JACKSON M FOWLER · (Male)

NPI # 1356122576
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2023
Last updated 10/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 318957
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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