Provider Demographics
NPI:1275627754
Name:BOWDEN, JOSEPH VERNAL (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:VERNAL
Last Name:BOWDEN
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 1:116 N ADAMSWOOD RD STE 2
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84040-4004
Mailing Address - Country:US
Mailing Address - Phone:801-888-2134
Mailing Address - Fax:801-888-2134
Practice Address - Street 1:116 N ADAMSWOOD RD STE 2
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84040-4004
Practice Address - Country:US
Practice Address - Phone:801-888-2134
Practice Address - Fax:801-546-2502
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT851729951202111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT870395551005Medicaid
UT870395551005Medicaid