Provider Demographics
NPI:1083850523
Name:LOWTHERT CHIROPRACTIC & WELLNESS , LLC
Entity Type:Organization
Organization Name:LOWTHERT CHIROPRACTIC & WELLNESS , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOWTHERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-366-9560
Mailing Address - Street 1:221 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961-1958
Mailing Address - Country:US
Mailing Address - Phone:570-366-9560
Mailing Address - Fax:570-366-9565
Practice Address - Street 1:221 E MARKET ST
Practice Address - Street 2:
Practice Address - City:ORWIGSBURG
Practice Address - State:PA
Practice Address - Zip Code:17961-1958
Practice Address - Country:US
Practice Address - Phone:570-366-9560
Practice Address - Fax:570-366-9565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009296111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA082612Medicare PIN