Provider Demographics
NPI:1861696940
Name:BOWERS, THOMAS EDWARD I (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EDWARD
Last Name:BOWERS
Suffix:I
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 1:24 CECIL ST NE
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:OH
Mailing Address - Zip Code:44662-1201
Mailing Address - Country:US
Mailing Address - Phone:330-879-2005
Mailing Address - Fax:330-684-1202
Practice Address - Street 1:24 CECIL ST NE
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:OH
Practice Address - Zip Code:44662-1201
Practice Address - Country:US
Practice Address - Phone:330-879-2005
Practice Address - Fax:330-684-1202
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH12630111N00000X, 111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
No111N00000XChiropractic ProvidersChiropractor