Provider Demographics
NPI:1023454956
Name:DOWNS CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:DOWNS CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DOWNS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-482-5479
Mailing Address - Street 1:459 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-4910
Mailing Address - Country:US
Mailing Address - Phone:860-482-5479
Mailing Address - Fax:860-482-7679
Practice Address - Street 1:459 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-4910
Practice Address - Country:US
Practice Address - Phone:860-482-5479
Practice Address - Fax:860-482-7679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-19
Last Update Date:2013-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000526111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTT22847OtherUPIN
CT350001086Medicare PIN