Individual
DR. ROBERT EARL BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.,
Contact information
Practice address
237 BARNWELL AVE NW, AIKEN, SC 29801-3903
(803) 642-5707
Mailing address
237 BARNWELL AVE NW, AIKEN, SC 29801-3903
(803) 642-5707
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1011
AZ
111NN1001X
Nutrition Chiropractor
Primary
630
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011
LICSENCE
AZ
01
—
630
LICENSEE
SC
01
—
AZ0235340
BCBS
AZ
Enumeration date
02/07/2008
Last updated
10/24/2012
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