Provider Demographics
NPI:1467410589
Name:ROWAN, ANDREW CHARLES (DC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:CHARLES
Last Name:ROWAN
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 1:28 FOUNTAIN SQ
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-8790
Mailing Address - Country:US
Mailing Address - Phone:931-456-2287
Mailing Address - Fax:931-456-2297
Practice Address - Street 1:28 FOUNTAIN SQ
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-8790
Practice Address - Country:US
Practice Address - Phone:931-456-2287
Practice Address - Fax:931-456-2297
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN688111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2006125OtherBCBS
TN350024854OtherRAIL ROAD MEDICARE
TN367516-4Medicare ID - Type Unspecified