Lifeline Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC006422L Issued in PA

Legal business name

LIFELINE CHIROPRACTIC, INC.

Practice address

2525 W Main St
Jeffersonville, PA 19403-6001

Phone

(610) 630-9800

Fax

(610) 630-9002

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James W Stein, DCNPI 1083662878

Title

Doctor

Phone

(610) 630-9800

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• James W Stein, DC

  • Chiropractor
  • Jeffersonville, PA
  • NPI 1083662878
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1871761874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194036001",
            "telephone_number": "610-630-9800",
            "fax_number": "610-630-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194036001",
            "telephone_number": "610-630-9800",
            "fax_number": "610-630-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "610-630-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006422L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "830329",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GRP",
            "identifier": "2011329",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBX",
            "identifier": "2016082000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zakiya R Hill
• HRPC
• Stephanie Anna Ingrassia, R.N.
• Jeffersonville Internal Medicine, P.C.
• Jeffersonville Smiles PC
• Main Street Counseling, LLC
• Pamela Martin, L.P.C.
• Huub Jozef Mulders, MD
• Maria Pena-Ariet, M.D.
• Lindsay Anne Phillips, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.