Provider Demographics
NPI:1851430078
Name:SOWERS, DANIEL JR (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:SOWERS
Suffix:JR
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 1:901 S CEDAR ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-2039
Mailing Address - Country:US
Mailing Address - Phone:517-676-0788
Mailing Address - Fax:517-676-5788
Practice Address - Street 1:901 S CEDAR ST STE 100
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854-2039
Practice Address - Country:US
Practice Address - Phone:517-676-0788
Practice Address - Fax:517-676-5788
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDS007162111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIU60037Medicare UPIN
MI0N75310001Medicare ID - Type Unspecified