Provider Demographics
NPI:1023142163
Name:TOWNE CHIROPRACTIC CLINIC P.C.
Entity type:Organization
Organization Name:TOWNE CHIROPRACTIC CLINIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-779-8331
Mailing Address - Street 1:977 ROYAL AVE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-6140
Mailing Address - Country:US
Mailing Address - Phone:541-779-8331
Mailing Address - Fax:
Practice Address - Street 1:977 ROYAL AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-6140
Practice Address - Country:US
Practice Address - Phone:541-779-8331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR271290111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR=========OtherCLINIC TAX ID
ORT92910Medicare UPIN
OR00WCJTMBMedicare ID - Type UnspecifiedNEIL MEDICARE
OR0000WCJTMMedicare ID - Type UnspecifiedGROUP MEDICARE
ORT92909Medicare UPIN
OR00WCJTMAMedicare ID - Type UnspecifiedJOE MEDICARE
ORV04005Medicare UPIN
OR130718Medicare ID - Type UnspecifiedTHE MANS MEDICARE