DR. JEFFREY WARREN LISSENDEN D.C. NPI 1770696031

NPI Information

NPI: 1770696031
Provider Name: DR. JEFFREY WARREN LISSENDEN, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
4411 HIGH POINT RD
SUITE 117
GREENSBORO, NC
ZIP 27407
Phone: (336) 218-0094
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DR. Jeffrey Warren Lissenden, D.C. is a chiropractor in Greensboro, NC. 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. DR. Jeffrey Warren Lissenden, D.C. NPI is 1770696031. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4411 HIGH POINT RD
SUITE 117
GREENSBORO, NC
ZIP 27407-314
Phone: (336) 218-0094
Fax: (336) 218-7079

The enumeration date for this NPI number is 8/17/2006 and was last updated on 7/8/2007.

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		1894	NORTH CAROLINA	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	609865	OTHER	NORTH CAROLINA	ACN
2	085XH	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD
3	T88816	MEDICARE UPIN	VIRGINIA
4	2458647	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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