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LIFELINE CHIROPRACTIC P.C. NPI 1821108119


NPI Information

NPI: 1821108119
Provider Name: LIFELINE CHIROPRACTIC, P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 03D2264624

Address:
6563 E 22ND ST
TUCSON, AZ
ZIP 85710
Phone: (520) 745-8101
Get Directions

LIFELINE CHIROPRACTIC, P.C. is a chiropractor in Tucson, AZ. The provider is 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 interrelationship with other body systems. LIFELINE CHIROPRACTIC, P.C. NPI is 1821108119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6563 E 22ND ST
TUCSON, AZ
ZIP 85710-106
Phone: (520) 745-8101

The provider's authorized official is Gregory K. Penniston .
The authorized official title is President and has the following contact phone number (520) 745-8101.

The CLIA number assigned to this NPI record is 03D2264624 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor3199ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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