Healthcare Provider Details

I. General information

NPI: 1992574750
Provider Name (Legal Business Name): CHARLES A BOWDEN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2023
Last Update Date: 12/21/2023
Certification Date: 12/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 EASTERN SHORE DR
SALISBURY MD
21804-5934
US

IV. Provider business mailing address

801 EASTERN SHORE DR
SALISBURY MD
21804-5934
US

V. Phone/Fax

Practice location:
  • Phone: 410-548-2225
  • Fax: 410-548-9542
Mailing address:
  • Phone: 410-548-2225
  • Fax: 410-548-9542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberSO4203
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: