Provider Demographics
NPI:1295732550
Name:DOWNING, JOSEPH SHANE (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SHANE
Last Name:DOWNING
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 1:8475 E US HIGHWAY 33
Mailing Address - Street 2:STE K
Mailing Address - City:CHURUBUSCO
Mailing Address - State:IN
Mailing Address - Zip Code:46723-9399
Mailing Address - Country:US
Mailing Address - Phone:260-693-1660
Mailing Address - Fax:260-693-1661
Practice Address - Street 1:8475 E US HIGHWAY 33
Practice Address - Street 2:STE K
Practice Address - City:CHURUBUSCO
Practice Address - State:IN
Practice Address - Zip Code:46723-9399
Practice Address - Country:US
Practice Address - Phone:260-693-1660
Practice Address - Fax:260-693-1661
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
IN08001775A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
INU70004Medicare UPIN
IN217750AMedicare ID - Type Unspecified