Provider Demographics
NPI:1316034267
Name:COWMAN, DEAN CHRISTOPHER (DC)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:CHRISTOPHER
Last Name:COWMAN
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 1:501 3RD STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:INTERNATIONAL FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56649
Mailing Address - Country:US
Mailing Address - Phone:218-283-2192
Mailing Address - Fax:218-283-2392
Practice Address - Street 1:501 3RD STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:INTERNATIONAL FALLS
Practice Address - State:MN
Practice Address - Zip Code:56649
Practice Address - Country:US
Practice Address - Phone:218-283-2192
Practice Address - Fax:218-283-2392
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3326111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN231966OtherAMERICAN CHIROPRACTICE NE
MN6C211RAOtherBCBS CLINIC
MN6C222COOtherBCBS INDIVIDUAL
U60754Medicare UPIN