Provider Demographics
NPI:1417968660
Name:BOWKER, DANIEL S (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:S
Last Name:BOWKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6911 SHANNON WILLOW RD STE 400
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-1350
Mailing Address - Country:US
Mailing Address - Phone:704-541-6400
Mailing Address - Fax:704-541-4169
Practice Address - Street 1:6911 SHANNON WILLOW RD STE 400
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-1350
Practice Address - Country:US
Practice Address - Phone:704-541-6400
Practice Address - Fax:704-541-4169
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2112111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCU24925Medicare UPIN