Organization
BESPOKE CHIROPRACTIC LLC
Active
Other names
Chiropractic Works
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWLER DC (OWNER)
(814) 796-3535
Entity
Organization
Contact information
Practice address
413 HIGH ST, WATERFORD, PA 16441-8301
(814) 796-3535
(814) 796-3535
Mailing address
PO BOX 457, WATERFORD, PA 16441-0457
(814) 796-3535
(814) 796-3535
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC011649
PENNSYLVANIA
PA
Enumeration date
10/15/2021
Last updated
10/19/2021
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