Provider Demographics
NPI:1659543841
Name:STOWE CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:STOWE CHIROPRACTIC CLINIC
Other - Org Name:DONALD E. STOWE, D.C.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:STOWE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:334-297-5679
Mailing Address - Street 1:2414 CRAWFORD RD
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36867-3628
Mailing Address - Country:US
Mailing Address - Phone:334-297-5679
Mailing Address - Fax:334-297-5679
Practice Address - Street 1:2414 CRAWFORD RD
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36867-3628
Practice Address - Country:US
Practice Address - Phone:334-297-5679
Practice Address - Fax:334-297-5679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0970111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0970OtherSTATE LICENSE NUMBER