MEDICARE: DR. DAMIAN EDWARD ROWE D.C.

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
1	111N00000X	Chiropractor	01-05429	KS

General Provider Information

NPI Number	:	1306120860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAMIAN EDWARD ROWE D.C.

Provider Business Mailing Address
First Line	:	2505 N MAIN ST
Second Line	:	PO BOX 28
City	:	NORTH NEWTON
State	:	KS
Zip	:	67117-9002
Country	:	US
Telephone Number	:	316-836-1188
Fax Number	:

Provider Business Practice Location Address
First Line	:	2505 N MAIN ST
Second Line	:
City	:	NORTH NEWTON
State	:	KS
Zip	:	67117-9002
Country	:	US
Telephone Number	:	316-836-1188
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2011
Last Update Date	:	11/09/2011

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