Provider Demographics
NPI:1619151768
Name:DOWSETT CHIROPRACTIC HEALTH CENTER P L C
Entity Type:Organization
Organization Name:DOWSETT CHIROPRACTIC HEALTH CENTER P L C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:DOWSETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:269-782-3247
Mailing Address - Street 1:301 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:DOWAGIAC
Mailing Address - State:MI
Mailing Address - Zip Code:49047-1701
Mailing Address - Country:US
Mailing Address - Phone:269-782-3247
Mailing Address - Fax:269-782-3326
Practice Address - Street 1:301 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:DOWAGIAC
Practice Address - State:MI
Practice Address - Zip Code:49047-1701
Practice Address - Country:US
Practice Address - Phone:269-782-3247
Practice Address - Fax:269-782-3326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301006152111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OP14610Medicare PIN