Provider Demographics
NPI:1275677635
Name:COWAN, ROBERT FREDERICK (DC, CAP)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FREDERICK
Last Name:COWAN
Suffix:
Gender:M
Credentials:DC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 W MICHIGAN AVE
Mailing Address - Street 2:SUITE 8B
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32505-2345
Mailing Address - Country:US
Mailing Address - Phone:850-469-9633
Mailing Address - Fax:850-469-1590
Practice Address - Street 1:945 W MICHIGAN AVE
Practice Address - Street 2:SUITE 8B
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-2345
Practice Address - Country:US
Practice Address - Phone:850-469-9633
Practice Address - Fax:850-469-1590
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 4707111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor