Provider Demographics
NPI:1215015284
Name:BOWNE, JEFF (DC)
Entity Type:Individual
Prefix:
First Name:JEFF
Middle Name:
Last Name:BOWNE
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 1:24510 TOWN CENTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1337
Mailing Address - Country:US
Mailing Address - Phone:661-288-2321
Mailing Address - Fax:661-228-0378
Practice Address - Street 1:24510 TOWN CENTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1337
Practice Address - Country:US
Practice Address - Phone:661-288-2321
Practice Address - Fax:661-228-0378
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28344111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor