Provider Demographics
NPI:1518156561
Name:KOWALIK FAMILY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:KOWALIK FAMILY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOWALIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-692-5006
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-0429
Mailing Address - Country:US
Mailing Address - Phone:978-692-5006
Mailing Address - Fax:
Practice Address - Street 1:3 LITTLETON RD
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3130
Practice Address - Country:US
Practice Address - Phone:978-692-5006
Practice Address - Fax:978-692-8016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1519111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty