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NPI Code Detail

MEDICARE: DR. WILLIAM THOMAS COWAN III D.C.

MEDICARE: DR. WILLIAM THOMAS COWAN III 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
1111NS0005XSports Physician ChiropractorFI 0000381DE

General Provider Information

NPI Number : 1710941257
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM THOMAS COWAN III D.C.
Provider Business Mailing Address
First Line : 1002 THAXTEN LANE
Second Line :
City : WILMINGTON
State : DE
Zip : 19807
Country : US
Telephone Number : 302-655-9858
Fax Number :
Provider Business Practice Location Address
First Line : 2500 WEST 4TH STREET
Second Line :
City : WILMINGTON
State : DE
Zip : 19805-1851
Country : US
Telephone Number : 302-655-9858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 07/31/2015

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