Provider Demographics
NPI:1255431045
Name:LOWENSTEIN, PETER E (DC)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:E
Last Name:LOWENSTEIN
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 1:321 MANTOLOKING RD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-5777
Mailing Address - Country:US
Mailing Address - Phone:732-920-8918
Mailing Address - Fax:732-920-8417
Practice Address - Street 1:321 MANTOLOKING RD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-5777
Practice Address - Country:US
Practice Address - Phone:732-920-8918
Practice Address - Fax:732-920-8417
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ467741Medicare ID - Type Unspecified