Samuel Kent Bowman, DC
Individual provider Active NPI Chiropractor · Holbrook, AZ
NPI 1013934009 · NPPES record last updated Aug 6, 2012
Key facts
- NPI
- 1013934009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 822 (AZ)
- Practice address
- 307 N 1St Ave
Holbrook, AZ 86025-2803 - Phone
- (928) 524-6855
- Fax
- (928) 524-6856
- NPI assigned
- Jul 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 822 | AZ | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 822 | AZ | Yes |
Addresses
Primary practice location
307 N 1St Ave
Holbrook, AZ 86025-2803
Mailing address
307 N 1St Ave
Holbrook, AZ 86025-2803
Phone (928) 524-6855
Other providers in Holbrook, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.