Provider Demographics
NPI:1558819433
Name:COWDREY, WILLIAM EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:COWDREY
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 1:22362 GILBERTO
Mailing Address - Street 2:SUITE 250
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-2139
Mailing Address - Country:US
Mailing Address - Phone:949-207-6965
Mailing Address - Fax:949-858-7733
Practice Address - Street 1:22362 GILBERTO
Practice Address - Street 2:SUITE 250
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2139
Practice Address - Country:US
Practice Address - Phone:949-207-6965
Practice Address - Fax:949-858-7733
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC20148111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor