Provider Demographics
NPI:1194886432
Name:LOWNEY, TIMOTHY (DC)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:LOWNEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2760 29TH ST
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1214
Mailing Address - Country:US
Mailing Address - Phone:303-444-5105
Mailing Address - Fax:303-494-4982
Practice Address - Street 1:2760 29TH ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1214
Practice Address - Country:US
Practice Address - Phone:303-444-5105
Practice Address - Fax:303-494-4982
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2934111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
COT87549Medicare UPIN
CO23803Medicare ID - Type Unspecified