Provider Demographics
NPI:1497826069
Name:LOWE, JOSEPH E (DC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:E
Last Name:LOWE
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 1:202 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
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA1249Medicare ID - Type Unspecified