Provider Demographics
NPI:1043318439
Name:ROWLEY, PATRICK JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:JAMES
Last Name:ROWLEY
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 1:6565 W MAIN ST STE 210
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-9148
Mailing Address - Country:US
Mailing Address - Phone:269-459-7180
Mailing Address - Fax:269-215-2004
Practice Address - Street 1:6565 W MAIN ST STE 210
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-9148
Practice Address - Country:US
Practice Address - Phone:269-459-7180
Practice Address - Fax:269-215-2004
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301006174111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOM21020Medicare ID - Type Unspecified
MIU-59155Medicare UPIN