Provider Demographics
NPI:1407283575
Name:FOWLER, MEGAN ANN MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:ANN MARIE
Last Name:FOWLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 SHEA CENTER DR.
Mailing Address - Street 2:#206
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-3523
Mailing Address - Country:US
Mailing Address - Phone:815-861-8651
Mailing Address - Fax:
Practice Address - Street 1:1712 SHEA CENTER DR.
Practice Address - Street 2:#206
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-3523
Practice Address - Country:US
Practice Address - Phone:815-861-8651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0006999111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor