Provider Demographics
NPI:1902810690
Name:LOWTHERT, CHRISTOPHER D (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:D
Last Name:LOWTHERT
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:PO BOX 313
Mailing Address - Street 2:
Mailing Address - City:NELLYSFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22958-0313
Mailing Address - Country:US
Mailing Address - Phone:434-270-5912
Mailing Address - Fax:
Practice Address - Street 1:1543 BEECH GROVE RD
Practice Address - Street 2:
Practice Address - City:ROSELAND
Practice Address - State:VA
Practice Address - Zip Code:22967-2213
Practice Address - Country:US
Practice Address - Phone:434-270-5912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557555111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PALO082612Medicare PIN