Provider Demographics
NPI:1437625159
Name:ALLCARE OF BOWIE, INC
Entity Type:Organization
Organization Name:ALLCARE OF BOWIE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:NOU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-325-7945
Mailing Address - Street 1:4345 NORTHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-2602
Mailing Address - Country:US
Mailing Address - Phone:301-464-5656
Mailing Address - Fax:301-262-4826
Practice Address - Street 1:4345 NORTHVIEW DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-2602
Practice Address - Country:US
Practice Address - Phone:301-464-5656
Practice Address - Fax:301-262-4826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty