| Bowlin Chiropractic, Sc | |
|
714 N Vermilion St, Danville, IL 61832-3918 | |
| (217) 446-7112 | |
| Not Available |
| Full Name | Bowlin Chiropractic, Sc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 714 N Vermilion St, Danville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407343262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.009395 (Illinois) | Primary |
| Provider Name | Gary W Bowlin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629149794 PECOS PAC ID: 8527124486 Enrollment ID: I20090302000648 |
| Mailing Address | Practice Location Address |
|---|---|
| Bowlin Chiropractic, Sc 714 N Vermilion St, Danville, IL 61832-3918 Ph: (217) 474-6585 | Bowlin Chiropractic, Sc 714 N Vermilion St, Danville, IL 61832-3918 Ph: (217) 446-7112 |
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