Provider Demographics
NPI:1629243894
Name:DOWNES FAMILY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:DOWNES FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOWNES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-628-2600
Mailing Address - Street 1:10 WARREN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-2506
Mailing Address - Country:US
Mailing Address - Phone:410-628-2600
Mailing Address - Fax:410-628-2878
Practice Address - Street 1:10 WARREN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-2506
Practice Address - Country:US
Practice Address - Phone:410-628-2600
Practice Address - Fax:410-628-2878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSO1243PT111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT91212Medicare PIN