Provider Demographics
NPI:1043201544
Name:BOWER, JOSEPH LEIGH (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:LEIGH
Last Name:BOWER
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 1:21037 CALISTOGA RD. STE. 7
Mailing Address - Street 2:PO BOX 1291
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CA
Mailing Address - Zip Code:95461-1291
Mailing Address - Country:US
Mailing Address - Phone:707-987-0354
Mailing Address - Fax:707-987-4470
Practice Address - Street 1:21037 CALISTOGA RD
Practice Address - Street 2:STE. 7
Practice Address - City:MIDDLETOWN
Practice Address - State:CA
Practice Address - Zip Code:95461-9300
Practice Address - Country:US
Practice Address - Phone:707-987-0354
Practice Address - Fax:707-987-4470
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20921111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU25397Medicare ID - Type Unspecified