Provider Demographics
NPI:1699533471
Name:DOWLER, JOHN
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:DOWLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1846 FRONT ST APT 100
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-3958
Mailing Address - Country:US
Mailing Address - Phone:234-237-8347
Mailing Address - Fax:
Practice Address - Street 1:1846 FRONT ST APT 100
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-3958
Practice Address - Country:US
Practice Address - Phone:234-237-8347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPS.003397175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist