Ms Jacqueline Bernice Fowler, HAPP, LMT is a
Mechanotherapist based in Gary, Indiana. Ms Jacqueline Bernice Fowler is licensed to practice in Indiana (license number ) and her current practice location is
8620 Maple Ave, Gary, Indiana. She can be reached at her office (for appointments etc.) via phone at
(219) 963-2956.
NPI number for Ms Jacqueline Bernice Fowler is 1053582445 and her current mailing address is 8620 Maple Ave, Gary, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053582445.
Healthcare Provider's Profile
| Full Name | Ms Jacqueline Bernice Fowler |
|---|
| Gender | Female |
|---|
| Speciality | Mechanotherapist |
|---|
| Location | 8620 Maple Ave, Gary, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053582445
- Provider Enumeration Date: 03/13/2008
- Last Update Date: 03/03/2022
Medical Identifiers
Medical identifiers for Ms Jacqueline Bernice Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053582445 | NPI | - | NPPES |
| MT209011898 | Other | IN | LICENSED MASSAGE THERAPIST/ MECHANO THERAPIST |
| 00000 | Other | IN | HOLISTIC ALTERNATIVE PSYCHOLOGY PRACTITIONER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | 00000 (Indiana) | Secondary |
| 173C00000X | Reflexologist | (* (Not Available)) | Secondary |
| 175F00000X | Naturopath | (* (Not Available)) | Secondary |
| 172M00000X | Mechanotherapist | (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jacqueline Bernice Fowler is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Jacqueline Bernice Fowler, HAPP, LMT
8620 Maple Ave,
Gary, IN 46403-1423
Ph: (219) 963-2956 | Ms Jacqueline Bernice Fowler, HAPP, LMT
8620 Maple Ave,
Gary, IN 46403-1423
Ph: (219) 963-2956 |
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