Provider Demographics
NPI:1245569854
Name:CLOW CHIROPRACTIC CENTER CORP
Entity Type:Organization
Organization Name:CLOW CHIROPRACTIC CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:CLOW
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:724-713-8388
Mailing Address - Street 1:101 SMITH DR
Mailing Address - Street 2:SUITE 8
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-4129
Mailing Address - Country:US
Mailing Address - Phone:724-776-4855
Mailing Address - Fax:724-776-1560
Practice Address - Street 1:101 SMITH DR
Practice Address - Street 2:SUITE 8
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-4129
Practice Address - Country:US
Practice Address - Phone:724-776-4855
Practice Address - Fax:724-776-1560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010051111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty