Provider Demographics
NPI:1396009387
Name:FAMILY CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:FAMILY CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:DOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-788-5050
Mailing Address - Street 1:81 HWY 31
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1252
Mailing Address - Country:US
Mailing Address - Phone:908-788-5050
Mailing Address - Fax:908-788-5652
Practice Address - Street 1:81 HWY 31
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1252
Practice Address - Country:US
Practice Address - Phone:908-788-5050
Practice Address - Fax:908-788-5652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-25
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ111N00000X
NJMC03558111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ350046658OtherRAILROAD MEDICARE
NJ0489603OtherAETNA/US HEALTHCARE
NJ536674Medicare PIN
NJ597075Medicare PIN
NJ350046658OtherRAILROAD MEDICARE