Shelly A Fowler, PA-C
Physician Assistant in Leeds, Massachusetts
1598954208- Practice location
- 38 Mulberry St Ste 204, Leeds, MA 01053-5339
- Phone
- 413-727-3882
- Fax
- 413-727-8691
- Last updated
- May 12, 2021
Shelly A Fowler is a Physician Assistant based in Leeds, MA. Shelly A Fowler practices in Leeds, MA and has the professional credentials of PA-C. The NPI Number for Shelly A Fowler is 1598954208 and holds a License No. 002021 (CT). The current practice location address for Shelly A Fowler is 38 Mulberry St Ste 204, Leeds, MA 01053-5339 and can be reached out via phone at 413-727-3882 and via fax at 413-727-8691.
Provider Profile Details
- NPI Number
- 1598954208
- Provider Name
- Shelly A Fowler
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 38 Mulberry St Ste 204, Leeds, MA 01053-5339
- Phone Number
- 413-727-3882
- Fax Number
- 413-727-8691
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 18, 2007
- Last Update Date
- May 12, 2021
- Certification Date
- May 12, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 38 Mulberry St Ste 204
Leeds, MA 01053-5339 - City
- Leeds
- State
- Massachusetts
- Zip
- 01053-5339
- Phone Number
- 413-727-3882
- Fax Number
- 413-727-8691
Provider Business Mailing Address Details
- Address
- Po Box 313
Leeds, MA 01053-0313 - City
- Leeds
- State
- MA
- Zip
- 01053-0313
- Phone Number
- 413-727-3882
License Information
- License Number (1)
- 002021
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA1051
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant · 363A00000X · 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 Shelly A Fowler, PA-C?
The NPI number of Shelly A Fowler, PA-C is 1598954208. It was assigned on October 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Shelly A Fowler, PA-C?
Shelly A Fowler, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 002021.
Where does Shelly A Fowler, PA-C practice?
The practice location is 38 Mulberry St Ste 204, Leeds, MA 01053-5339. The office can be reached at 413-727-3882 (phone) or 413-727-8691 (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 1598954208 directly on the NPPES registry website.