MEDICARE: ROWER CHIROPRACTIC LLC

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

General Provider Information

NPI Number	:	1861439929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROWER CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	8182 LARK BROWN RD
Second Line	:	SUITE 102
City	:	ELKRIDGE
State	:	MD
Zip	:	21075-6420
Country	:	US
Telephone Number	:	410-799-7550
Fax Number	:	410-799-7554

Provider Business Practice Location Address
First Line	:	8182 LARK BROWN RD
Second Line	:	SUITE 102
City	:	ELKRIDGE
State	:	MD
Zip	:	21075-6420
Country	:	US
Telephone Number	:	410-799-7550
Fax Number	:	410-799-7554

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JASON E. ROWER
Credential	:	D.C.
Telephone Number	:	410-799-7550

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	10/31/2007

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