Provider Demographics
NPI:1952594780
Name:LOWE CHIROPRACTIC PC
Entity Type:Organization
Organization Name:LOWE CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:518-479-2038
Mailing Address - Street 1:202 COLUMBIA TPKE
Mailing Address - Street 2:
Mailing Address - City:RENSSELAER
Mailing Address - State:NY
Mailing Address - Zip Code:12144-4001
Mailing Address - Country:US
Mailing Address - Phone:518-479-2038
Mailing Address - Fax:518-479-3174
Practice Address - Street 1:202 COLUMBIA TPKE
Practice Address - Street 2:
Practice Address - City:RENSSELAER
Practice Address - State:NY
Practice Address - Zip Code:12144-4001
Practice Address - Country:US
Practice Address - Phone:518-479-2038
Practice Address - Fax:518-479-3174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA1249Medicare PIN