Life Chiropractic Center Pa in Port St Lucie - Chiropractor
Life Chiropractic Center Pa - NPI 1639363310
Life Chiropractic Center Pa is a Chiropractor in Port St Lucie, Florida. Life Chiropractic Center Pa practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Life Chiropractic Center Pa is 1639363310. The last update date is 2007-09-05.
Life Chiropractic Center Pa's current location address is 1230 Se Port St Lucie Blvd, Port St Lucie, Florida. You can contact this provider via phone number 7723988888. The mailing address for Life Chiropractic Center Pa is 1230 Se Port St Lucie Blvd, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Life Chiropractic Center Pa |
|---|---|
| Address | 1230 Se Port St Lucie Blvd, Port St Lucie, Florida |
| Phone Number | 7723988888 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC DIR |
|---|---|
| Authorized Official Name | Rukeyser Nathaniel Martin |
| Credentials | D.C. |
| Telephone Number | 7723988888 |
NPI Number Detail
| NPI Number | 1639363310 |
|---|---|
| Provider Enumeration Date | 2007-09-05 |
| Last Updated Date | 2007-09-05 |
Provider Mailing Address Detail
| Address | 1230 Se Port St Lucie Blvd |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349525330 |
| Phone Number | 7723988888 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH8717 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 74769 | FL | BLUE CROSS BLUE SHIELD | |
| 381887000 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Life Chiropractic Center Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Life Chiropractic Center Pa has been assigned the NPI (National Provider Identifier) 1639363310. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Life Chiropractic Center Pa is physically located?
The Life Chiropractic Center Pa is physically situated at the following address: 1230 Se Port St Lucie Blvd, Port St Lucie, FL, 349525330.
What is the Life Chiropractic Center Pa's area of specialization and corresponding taxonomy classification?
The Life Chiropractic Center Pa's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Life Chiropractic Center Pa receive the assignment of its 1639363310 from the Centers for Medicare & Medicaid Services?
The Life Chiropractic Center Pa was issued its 1639363310 by the Centers for Medicare & Medicaid Services on 2007-09-05.
When was the information regarding Life Chiropractic Center Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Life Chiropractic Center Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-05.
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