Individual
DR. DARYL V COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1 PLAZA DR, SUITE 20, PENDLETON, IN 46064-8823
(765) 778-7399
(765) 778-7399
Mailing address
1 PLAZA DR, SUITE 20, PENDLETON, IN 46064-8823
(765) 778-7399
(765) 778-7399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001542
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000214574
BLUE NUMBER BCBS
IN
05
—
200167160A21
—
IN
01
—
351925531
FEDERAL TAX ID#
IN
Enumeration date
05/07/2007
Last updated
03/16/2016
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