Provider Demographics
NPI:1417157769
Name:CLOW, CURTIS HENRY JR (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:HENRY
Last Name:CLOW
Suffix:JR
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 1:274 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-2938
Mailing Address - Country:US
Mailing Address - Phone:724-713-8388
Mailing Address - Fax:
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA006995111N00000X
PADC010051111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA149680DIRMedicare PIN