Provider Demographics
NPI:1972622272
Name:DOWLING CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:DOWLING CHIROPRACTIC, PC
Other - Org Name:MAPLE CITY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER VICE PRESIDENT OF CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-960-4798
Mailing Address - Street 1:4390 BENT OAK HWY
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-9515
Mailing Address - Country:US
Mailing Address - Phone:517-960-4798
Mailing Address - Fax:
Practice Address - Street 1:1114 S WINTER ST
Practice Address - Street 2:SUITE 7
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-4292
Practice Address - Country:US
Practice Address - Phone:517-264-1699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009245111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty