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NPI Code Detail

MEDICARE: BOWLES CHIROPRACTIC

MEDICARE: BOWLES CHIROPRACTIC
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
1111N00000XChiropractor1607KY

General Provider Information

NPI Number : 1669699021
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOWLES CHIROPRACTIC
Provider Business Mailing Address
First Line : PO BOX 17223
Second Line :
City : LOUISVILLE
State : KY
Zip : 40217-0223
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2005 HIKES LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-4817
Country : US
Telephone Number : 502-459-3450
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LOUIS BOWLES
Credential : DC
Telephone Number : 502-459-3450
Provider Enumeration Date : 04/19/2007
Last Update Date : 11/20/2007

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Directions to “BOWLES CHIROPRACTIC ” Practice Location

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