Provider Demographics
NPI:1013780808
Name:BOWKER CHIROPRACTIC INC
Entity type:Organization
Organization Name:BOWKER CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-988-9640
Mailing Address - Street 1:3 SCHOOL ST
Mailing Address - Street 2:UNIT 102
Mailing Address - City:BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03901
Mailing Address - Country:US
Mailing Address - Phone:603-988-9640
Mailing Address - Fax:
Practice Address - Street 1:3 SCHOOL ST
Practice Address - Street 2:UNIT 102
Practice Address - City:BERWICK
Practice Address - State:ME
Practice Address - Zip Code:03901
Practice Address - Country:US
Practice Address - Phone:603-988-9640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center