Provider Demographics
NPI:1407566722
Name:DOWLING LEGACY CHIROPRACTIC & WELLNESS, INC.
Entity Type:Organization
Organization Name:DOWLING LEGACY CHIROPRACTIC & WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-294-2894
Mailing Address - Street 1:2239 MOORPARK AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2661
Mailing Address - Country:US
Mailing Address - Phone:408-294-2894
Mailing Address - Fax:
Practice Address - Street 1:2239 MOORPARK AVE STE 102
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2661
Practice Address - Country:US
Practice Address - Phone:408-294-2894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty