Provider Demographics
NPI:1821199076
Name:DOWLING, JOHN T (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:T
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 1:81 HWY 31
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1252
Mailing Address - Country:US
Mailing Address - Phone:908-782-3303
Mailing Address - Fax:
Practice Address - Street 1:81 HWY 31
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1252
Practice Address - Country:US
Practice Address - Phone:908-788-5050
Practice Address - Fax:908-788-5652
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03014111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0489603OtherAETNA/US HEALTHCARE
NJU01558Medicare UPIN
NJ536674Medicare ID - Type UnspecifiedMEDICARE ID
NJ0489603OtherAETNA/US HEALTHCARE