Provider Demographics
NPI:1235513946
Name:SOWERS, JACOB BENJAMIN (DC)
Entity Type:Individual
Prefix:DR
First Name:JACOB
Middle Name:BENJAMIN
Last Name:SOWERS
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 1:9122 TOWN CENTER PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5055
Mailing Address - Country:US
Mailing Address - Phone:405-694-3009
Mailing Address - Fax:
Practice Address - Street 1:9122 TOWN CENTER PKWY STE 105
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-5055
Practice Address - Country:US
Practice Address - Phone:941-447-3224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14654111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor