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NPI Code Detail

MEDICARE: COWAN CHIROPRACTIC & REHABILITATION, PA

MEDICARE: COWAN CHIROPRACTIC & REHABILITATION, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NS0005XSports Physician ChiropractorF10000381DE

General Provider Information

NPI Number : 1790721058
Entity Type Code : Organization
Provider Name (Legal Business Name) : COWAN CHIROPRACTIC & REHABILITATION, PA
Provider Business Mailing Address
First Line : 705 S CLAYTON ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19805-4214
Country : US
Telephone Number : 302-655-9858
Fax Number :
Provider Business Practice Location Address
First Line : 536 GREENHILL AVE
Second Line :
City : WILMINGTON
State : DE
Zip : 19805-1851
Country : US
Telephone Number : 302-654-0404
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. WILLIAM THOMAS COWAN III
Credential : D.C.
Telephone Number : 302-654-0404
Provider Enumeration Date : 06/22/2006
Last Update Date : 08/22/2020

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Directions to “COWAN CHIROPRACTIC & REHABILITATION, PA ” Practice Location

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