Provider Demographics
NPI:1811180045
Name:ROWLISON CHIROPRACTIC,P.C.
Entity type:Organization
Organization Name:ROWLISON CHIROPRACTIC,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ROWLISON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:928-344-4332
Mailing Address - Street 1:913 E PALO VERDE ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-3481
Mailing Address - Country:US
Mailing Address - Phone:928-343-0532
Mailing Address - Fax:928-344-4667
Practice Address - Street 1:328 W 32ND ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8128
Practice Address - Country:US
Practice Address - Phone:928-344-4332
Practice Address - Fax:928-344-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDC5173111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty