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LIGHTSOURCE CHIROPRACTIC LLC NPI 1679023154


NPI Information

NPI: 1679023154
Provider Name: LIGHTSOURCE CHIROPRACTIC, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6 EAST MAIN STREET
SUITE 6
CLINTON, NJ
ZIP 08809
Phone: (908) 399-3499
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LIGHTSOURCE CHIROPRACTIC, LLC is a chiropractor in Clinton, NJ. 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. LIGHTSOURCE CHIROPRACTIC, LLC NPI is 1679023154. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6 EAST MAIN STREET
SUITE 6
CLINTON, NJ
ZIP 08809
Phone: (908) 399-3499

The provider's authorized official is Jodi Nichole Dinnerman .
The authorized official title is Owner and has the following contact phone number (908) 399-3499.

The enumeration date for this NPI number is 10/10/2016 and was last updated on 10/10/2016.


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
1111N00000XChiropractorMC05797NEW JERSEYYes

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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