Provider Demographics
NPI:1710062666
Name:DOWELL, STEVEN M (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:DOWELL
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 1:42882 TRURO PARISH DR STE 207
Mailing Address - Street 2:
Mailing Address - City:BROADLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:20148-4458
Mailing Address - Country:US
Mailing Address - Phone:703-723-6614
Mailing Address - Fax:703-723-6615
Practice Address - Street 1:42882 TRURO PARISH DR STE 207
Practice Address - Street 2:
Practice Address - City:BROADLANDS
Practice Address - State:VA
Practice Address - Zip Code:20148-4458
Practice Address - Country:US
Practice Address - Phone:703-723-6614
Practice Address - Fax:703-723-6615
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555956111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA102389OtherBLUE CROSS BLUE SHIELD
VAU98407Medicare UPIN