Individual
DR. DANIEL S. BOWERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., F.A.C.O.
Contact information
Practice address
512 S 4TH ST, PHILADELPHIA, PA 19147-1507
(215) 923-5577
(215) 627-3530
Mailing address
512 S 4TH ST, PHILADELPHIA, PA 19147-1507
(215) 923-5577
(215) 627-3530
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
DC001839L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000614
HIGHMARK BLUE SHIELD
PA
01
—
0060992000
KHPE HMO
PA
01
—
2633236
AETNA
PA
01
—
J000614
AMERIHEALTH ADMINISTRATOR
PA
Enumeration date
01/23/2006
Last updated
07/08/2007
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