Provider Demographics
NPI:1174561716
Name:LOCKWOOD CHIROPRACTIC HEALTH CENTER PC
Entity type:Organization
Organization Name:LOCKWOOD CHIROPRACTIC HEALTH CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOT
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-252-3156
Mailing Address - Street 1:PO BOX 31581
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59107-1581
Mailing Address - Country:US
Mailing Address - Phone:406-252-3156
Mailing Address - Fax:406-252-3156
Practice Address - Street 1:2850 OLD HARDIN RD
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101
Practice Address - Country:US
Practice Address - Phone:406-252-3156
Practice Address - Fax:406-252-3156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY631111N00000X
MT1046111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT041283OtherBLUE CROSS
MT041283OtherBLUE CROSS