Provider Demographics
NPI:1427229343
Name:ROWAN CHIROPRACTIC
Entity Type:Organization
Organization Name:ROWAN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROWAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:931-456-2287
Mailing Address - Street 1:2193 N MAIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-6737
Mailing Address - Country:US
Mailing Address - Phone:931-456-2287
Mailing Address - Fax:931-456-2297
Practice Address - Street 1:2193 N MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-6737
Practice Address - Country:US
Practice Address - Phone:931-456-2287
Practice Address - Fax:931-456-2297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN688111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT86118Medicare UPIN
TN3670053Medicare PIN
TN3675164Medicare PIN