Dr. Koby D Fowler, DC
Chiropractor in Southington, Connecticut
1104329887- Practice location
- 1095 West St Unit 1, Southington, CT 06489
- Phone
- 860-620-1705
- Fax
- 860-620-1746
- Last updated
- October 8, 2019
Koby Douglas Fowler is a Chiropractor based in Southington, CT. Koby Douglas Fowler practices in Southington, CT and has the professional credentials of DC. The NPI Number for Koby Douglas Fowler is 1104329887 and holds a License No. 2106 (CT). The current practice location address for Koby Douglas Fowler is 1095 West St Unit 1, Southington, CT 06489 and can be reached out via phone at 860-620-1705 and via fax at 860-620-1746.
Provider Profile Details
- NPI Number
- 1104329887
- Provider Name
- Koby Douglas Fowler
- Credential
- DC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1095 West St Unit 1, Southington, CT 06489
- Phone Number
- 860-620-1705
- Fax Number
- 860-620-1746
- Primary Taxonomy
- Chiropractor · 111N00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 9, 2018
- Last Update Date
- October 8, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1095 West St Unit 1
Southington, CT 06489 - City
- Southington
- State
- Connecticut
- Zip
- 06489
- Phone Number
- 860-620-1705
- Fax Number
- 860-620-1746
Provider Business Mailing Address Details
- Address
- 1095 West St Unit 1
Southington, CT 06489-1023 - City
- Southington
- State
- CT
- Zip
- 06489-1023
- Phone Number
- 860-620-1705
- Fax Number
- 860-620-1746
License Information
- License Number
- 2106
- License State
- CT
- Taxonomy
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Koby D Fowler, DC?
The NPI number of Dr. Koby D Fowler, DC is 1104329887. It was assigned on March 9, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Koby D Fowler, DC?
Dr. Koby D Fowler, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in CT under license number 2106.
Where does Dr. Koby D Fowler, DC practice?
The practice location is 1095 West St Unit 1, Southington, CT 06489. The office can be reached at 860-620-1705 (phone) or 860-620-1746 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104329887 directly on the NPPES registry website.