Provider Demographics
NPI:1801801147
Name:DOWNEY, JILL PIVNICK (DC)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:PIVNICK
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JILL
Other - Middle Name:MICHELLE
Other - Last Name:PIVNICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 614
Mailing Address - Street 2:
Mailing Address - City:YADKINVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27055-0614
Mailing Address - Country:US
Mailing Address - Phone:336-679-8500
Mailing Address - Fax:336-677-8536
Practice Address - Street 1:204 N STATE ST
Practice Address - Street 2:
Practice Address - City:YADKINVILLE
Practice Address - State:NC
Practice Address - Zip Code:27055-5371
Practice Address - Country:US
Practice Address - Phone:336-679-8500
Practice Address - Fax:336-677-8536
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4175111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3974070Medicare PIN
TN4012576OtherBLUE CROSS BLUE SHIELD
TNTN0100OtherJOHN DEERE