Healthcare Provider Details

I. General information

NPI: 1306054408
Provider Name (Legal Business Name): ROBERT A ROWE,DC,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2629 RIVA RD SUITE 110
ANNAPOLIS MD
21401-7428
US

IV. Provider business mailing address

2629 RIVA RD SUITE 110
ANNAPOLIS MD
21401-7428
US

V. Phone/Fax

Practice location:
  • Phone: 410-224-2210
  • Fax: 410-224-4001
Mailing address:
  • Phone: 410-224-2210
  • Fax: 410-224-4001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberS01613
License Number StateMD

VIII. Authorized Official

Name: DR. ROBERT A ROWE
Title or Position: PRESIDENT
Credential: D.C.
Phone: 410-224-2210