Provider Demographics
NPI:1992574750
Name:BOWDEN, CHARLES A (DC)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:A
Last Name:BOWDEN
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 1:801 EASTERN SHORE DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-5934
Mailing Address - Country:US
Mailing Address - Phone:410-548-2225
Mailing Address - Fax:410-548-9542
Practice Address - Street 1:801 EASTERN SHORE DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-5934
Practice Address - Country:US
Practice Address - Phone:410-548-2225
Practice Address - Fax:410-548-9542
Is Sole Proprietor?:No
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSO4203111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor