LAKE PLACID CHIROPRACTIC CLINIC INC NPI 1225263601

NPI Information

NPI: 1225263601
Provider Name: LAKE PLACID CHIROPRACTIC CLINIC, INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2411 US HIGHWAY 27 S
SEBRING, FL
ZIP 33870
Phone: (863) 382-9632
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LAKE PLACID CHIROPRACTIC CLINIC, INC is a chiropractor in Sebring, FL. 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. LAKE PLACID CHIROPRACTIC CLINIC, INC NPI is 1225263601. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2411 US HIGHWAY 27 S
SEBRING, FL
ZIP 33870-943
Phone: (863) 382-9632
Fax: (863) 382-9632

The provider's authorized official is Robert T Clark .
The authorized official title is Owner and has the following contact phone number (863) 699-6824.

The enumeration date for this NPI number is 5/28/2009 and was last updated on 9/18/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CH7378	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	55739	OTHER	FLORIDA	BC/BS
2	3814891-00	MEDICAID	FLORIDA
3	E0460	MEDICARE PIN	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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