Provider Demographics
NPI:1689903767
Name:TIM LOWNEY DC
Entity Type:Organization
Organization Name:TIM LOWNEY DC
Other - Org Name:TIMOTHY J. LOWNEY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-444-5105
Mailing Address - Street 1:2760 29TH ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1221
Mailing Address - Country:US
Mailing Address - Phone:303-444-5105
Mailing Address - Fax:303-494-4982
Practice Address - Street 1:2760 29TH ST STE 2B
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1221
Practice Address - Country:US
Practice Address - Phone:303-444-5105
Practice Address - Fax:303-494-4982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2934111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COT87549Medicare UPIN
COC23803Medicare PIN