J Eric Lefevre, DC, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC005505-L Issued in PA

Legal business name

J ERIC LEFEVRE, DC, PC

Doing business as

Park Street Chiropractic

Practice address

519 Park St
Bloomsburg, PA 17815-2328

Phone

(570) 784-0360

Fax

(570) 784-0804

NPI assigned

Aug 25, 2006

Last updated

May 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. J Eric Lefevre, D.C.

Title

President

Phone

(570) 784-0360

Specialties & licenses 1

Addresses

Other names 1

• Park Street Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Eric Lefevre, D.C.

  • Chiropractor
  • Bloomsburg, PA
  • NPI 1477554376
  Medicare reassignment

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1518074368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 PARK ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152328",
            "telephone_number": "570-784-0360",
            "fax_number": "570-784-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 PARK ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152328",
            "telephone_number": "570-784-0360",
            "fax_number": "570-784-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J ERIC LEFEVRE, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "LEFEVRE",
        "authorized_official_first_name": "J ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-784-0360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005505-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Street Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.