Provider Demographics
NPI:1720416241
Name:LOWER CAPE CHIROPRACTIC SERVICES INC
Entity Type:Organization
Organization Name:LOWER CAPE CHIROPRACTIC SERVICES INC
Other - Org Name:LOWEY CHIROPRACTIC WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOWEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-255-5866
Mailing Address - Street 1:169 RT 6A
Mailing Address - Street 2:
Mailing Address - City:ORLEANS
Mailing Address - State:MA
Mailing Address - Zip Code:02653-3206
Mailing Address - Country:US
Mailing Address - Phone:508-255-5866
Mailing Address - Fax:508-255-0888
Practice Address - Street 1:169 RT 6A
Practice Address - Street 2:
Practice Address - City:ORLEANS
Practice Address - State:MA
Practice Address - Zip Code:02653-3206
Practice Address - Country:US
Practice Address - Phone:508-255-5866
Practice Address - Fax:508-255-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-18
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA582111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY35404Medicare UPIN