Life Chiropractic Center Pa

LBN: Life Chiropractic Center Pa
Life Chiropractic Center Pa is an health care organization with primary practice located at 1230 Se Port St Lucie Blvd , Port St Lucie FL 34952-5330. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Life Chiropractic Center Pa can be contacted via phone (772) 398-8888, or through Rukeyser, Martin Nathaniel via phone (772) 398-8888.

Contact Information

Primary practice address
1230 Se Port St Lucie Blvd Port St Lucie FL 34952-5330
Phone: (772) 398-8888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rukeyser, Martin Nathaniel Doctor of Chiropractic (DC)
Phone: (772) 398-8888

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH8717 Florida

Profile Details

NPI number 1639363310
LBN Legal business name Life Chiropractic Center Pa
DBA Doing business as
Authorized official Rukeyser, Martin Nathaniel Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2007
Last updated Sep 5th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639363310 NPPES
Florida Other 74769 BLUE CROSS BLUE SHIELD
Florida MEDICAID 381887000 BLUE CROSS BLUE SHIELD

Popular Providers