Provider Demographics
NPI:1578761151
Name:DOWNING CHIROPRACTIC CENTER, P.C.
Entity Type:Organization
Organization Name:DOWNING CHIROPRACTIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:SHANE
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:260-693-1660
Mailing Address - Street 1:8475 E US HIGHWAY 33
Mailing Address - Street 2:SUITE K
Mailing Address - City:CHURUBUSCO
Mailing Address - State:IN
Mailing Address - Zip Code:46723-9399
Mailing Address - Country:US
Mailing Address - Phone:260-693-1660
Mailing Address - Fax:260-693-1661
Practice Address - Street 1:8475 E US HIGHWAY 33
Practice Address - Street 2:SUITE K
Practice Address - City:CHURUBUSCO
Practice Address - State:IN
Practice Address - Zip Code:46723-9399
Practice Address - Country:US
Practice Address - Phone:260-693-1660
Practice Address - Fax:260-693-1661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001775A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INU70004Medicare UPIN
IN217750Medicare ID - Type Unspecified