Provider Demographics
NPI:1124071360
Name:PFEIFER, ROWEN S (DC)
Entity type:Individual
Prefix:DR
First Name:ROWEN
Middle Name:S
Last Name:PFEIFER
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 1:1608 WESTGATE CIR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-9103
Mailing Address - Country:US
Mailing Address - Phone:615-373-3345
Mailing Address - Fax:615-373-3358
Practice Address - Street 1:1608 WESTGATE CIRCLE
Practice Address - Street 2:SUITE 100
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-9107
Practice Address - Country:US
Practice Address - Phone:615-373-3345
Practice Address - Fax:615-373-3358
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC 554111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3673972Medicare ID - Type Unspecified
TNT74640Medicare UPIN