Provider Demographics
NPI:1093020307
Name:BROWER, ERIK JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:JOHN
Last Name:BROWER
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 1:318 SCHROON HILL RD
Mailing Address - Street 2:
Mailing Address - City:KERHONKSON
Mailing Address - State:NY
Mailing Address - Zip Code:12446-1413
Mailing Address - Country:US
Mailing Address - Phone:845-594-1722
Mailing Address - Fax:
Practice Address - Street 1:52 ROUTE 17K
Practice Address - Street 2:SUITE 207
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3919
Practice Address - Country:US
Practice Address - Phone:845-594-1722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-11
Last Update Date:2010-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011895111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor