Provider Demographics
NPI:1689743858
Name:DOWLING, MICHAEL JOSEPH (DC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:DOWLING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 6TH ST S
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-6714
Mailing Address - Country:US
Mailing Address - Phone:425-889-1403
Mailing Address - Fax:425-889-1405
Practice Address - Street 1:822 6TH ST S
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6714
Practice Address - Country:US
Practice Address - Phone:425-889-1403
Practice Address - Fax:425-889-1405
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002266111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
WADO4595OtherREGENCE BS WRITER NUMBER
WA53638OtherLABOR AND INDUSTRIES ID
WADO4595OtherREGENCE BS WRITER NUMBER
WA000108737Medicare ID - Type Unspecified