Provider Demographics
NPI:1497824056
Name:LOWES, JEFFREY (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:LOWES
Suffix:
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:PO BOX 1128
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-5128
Mailing Address - Country:US
Mailing Address - Phone:434-851-0091
Mailing Address - Fax:434-616-2494
Practice Address - Street 1:2203 GRAVES MILL RD STE A
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551
Practice Address - Country:US
Practice Address - Phone:434-851-0091
Practice Address - Fax:434-616-2494
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA172805OtherANTHEM BCBS
VA9474129OtherCIGNA
VA010124174Medicaid
VA670673OtherUNITED HEALTHCARE
VA010124174Medicaid
VA9474129OtherCIGNA
VA670673OtherUNITED HEALTHCARE