Provider Demographics
NPI:1386427573
Name:SOWERS FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:SOWERS FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:SOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-694-3009
Mailing Address - Street 1:6210 MEDICI CT APT 104
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2617
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9122 TOWN CENTER PKWY STE 105
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-5055
Practice Address - Country:US
Practice Address - Phone:941-447-3224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty