Life Change Specialties L L C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC008690 Issued in PA

Legal business name

LIFE CHANGE SPECIALTIES L L C

Practice address

439 Eisenhower Dr
Hanover, PA 17331-5213

Phone

(717) 634-2398

Fax

(717) 634-2401

NPI assigned

Jul 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gerard-Majella Kosko, DC

Title

Owner

Phone

(717) 634-2398

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1063676617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 EISENHOWER DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315213",
            "telephone_number": "717-634-2398",
            "fax_number": "717-634-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 EISENHOWER DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315213",
            "telephone_number": "717-634-2398",
            "fax_number": "717-634-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGE SPECIALTIES L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "KOSKO",
        "authorized_official_first_name": "GERARD-MAJELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-634-2398",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Lehman, LAPC
• Edward K Leventhal, M.D.
• Danielle Lew, LCSW-C
• John G Lieb, M.D.
• Tyler Nathaniel Lieberum, PHARMD
• Lifenet Emergency Medical Services, Inc.
• Jara M Lighty, LMT
• Jordon Philip Limsky, DO
• Linda Ying Lin, PA-C
• Lincare Inc.

• Chiropractor in Hanover, PA
• Providers in Hanover, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.