LIFELINE CHIROPRACTIC P C NPI 1427230390

NPI Information

  • NPI: 1427230390
  • Provider Name: LIFELINE CHIROPRACTIC P C
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 47950 VAN DYKE
    STE A
    SHELBY TOWNSHIP, MI
    ZIP 48317
  • Phone: (586) 739-6654

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NPI Details

LIFELINE CHIROPRACTIC P C is a chiropractor in Shelby Township, MI. 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 1427230390. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

47950 VAN DYKE
STE A
SHELBY TOWNSHIP, MI
ZIP 48317
Phone: (586) 739-6654

The provider's authorized official is Scott E Kaczmar .
The authorized official title is Owner and has the following contact phone number (586) 739-6654.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 8/26/2008.

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
1111N00000XChiropractorSK007679MICHIGANYes

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
10M91670MEDICARE PIN
2950E025430OTHERMICHIGANBLUE CROSS BLUE SHEILD
3=========OTHERCOMMERCIAL
4U78085MEDICARE UPIN

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: 3/30/2025

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