Provider Demographics
NPI:1336178938
Name:COWEN, HAL CURTIS (DC)
Entity Type:Individual
Prefix:MR
First Name:HAL
Middle Name:CURTIS
Last Name:COWEN
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 1:1931 N COVE BLVD
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-5314
Mailing Address - Country:US
Mailing Address - Phone:850-872-8880
Mailing Address - Fax:
Practice Address - Street 1:645 N HIGHWAY 231
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4704
Practice Address - Country:US
Practice Address - Phone:850-872-8880
Practice Address - Fax:850-872-0544
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5241111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380157800Medicaid
FL22048Medicare ID - Type UnspecifiedMEDICARE/BCBS PROVIDER NU
FL380157800Medicaid