Provider Demographics
NPI:1417135831
Name:HAL C COWEN DC PA
Entity Type:Organization
Organization Name:HAL C COWEN DC PA
Other - Org Name:CHIRONETWORK HEALTH CARE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAL
Authorized Official - Middle Name:C
Authorized Official - Last Name:COWEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:850-872-8880
Mailing Address - Street 1:127 W 23RD ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4504
Mailing Address - Country:US
Mailing Address - Phone:850-872-8880
Mailing Address - Fax:
Practice Address - Street 1:127 W 23RD ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4504
Practice Address - Country:US
Practice Address - Phone:850-872-8880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22048Medicare PIN