Provider Demographics
NPI:1164632816
Name:ROWAN ALLIANCE ALLIANCE
Entity Type:Organization
Organization Name:ROWAN ALLIANCE ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-636-3629
Mailing Address - Street 1:1910 JAKE ALEXANDER BLVD W STE 203
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-1165
Mailing Address - Country:US
Mailing Address - Phone:704-636-3629
Mailing Address - Fax:704-633-4970
Practice Address - Street 1:1910 JAKE ALEXANDER BLVD W STE 203
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-1165
Practice Address - Country:US
Practice Address - Phone:704-636-3629
Practice Address - Fax:704-633-4970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage