Provider Demographics
NPI:1366687071
Name:J. C. DOW, INC.
Entity type:Organization
Organization Name:J. C. DOW, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BC HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:865-558-6000
Mailing Address - Street 1:109 S NORTHSHORE DR
Mailing Address - Street 2:SUITE 403
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4939
Mailing Address - Country:US
Mailing Address - Phone:865-558-6000
Mailing Address - Fax:865-558-9961
Practice Address - Street 1:109 S NORTHSHORE DR
Practice Address - Street 2:SUITE 403
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4939
Practice Address - Country:US
Practice Address - Phone:865-558-6000
Practice Address - Fax:865-558-9961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN513261QH0700X
TN701261QH0700X
TN55261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech