Provider Demographics
NPI:1023003662
Name:BOWKER, JAMEY R (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMEY
Middle Name:R
Last Name:BOWKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SCHOOL ST UNIT 102
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03901
Mailing Address - Country:US
Mailing Address - Phone:603-988-9640
Mailing Address - Fax:
Practice Address - Street 1:3 SCHOOL ST
Practice Address - Street 2:UNIT 102
Practice Address - City:BERWICK
Practice Address - State:ME
Practice Address - Zip Code:03901
Practice Address - Country:US
Practice Address - Phone:603-988-9640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6681002111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3025768OtherAETNA US HEALTHCARE
NH05Y003606NH01OtherANTHEM BCBS
NH2084955OtherMAILHANDLERS
NH30252354Medicaid
ME264870099OtherMAINECARE
NH288893OtherCIGNA HEALTHCARE
NH352295OtherHARVARD PILGRIM HC
NH05Y003606NH01OtherANTHEM BCBS