Sidi M Lemnouni, DC

Individual provider Active NPI Chiropractor · Flagler Beach, FL

NPI 1942390323 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1942390323
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
CH0003501 (FL)
Practice address
1240 South A1A
Flagler Beach, FL 32136
Phone
(386) 439-9001
Fax
(396) 439-9002
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CH0003501FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Chiropractic PA Chiropractor Past
since Sep 14, 2009
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0003501 FL Yes

Addresses

Primary practice location

1240 South A1A
Flagler Beach, FL 32136

Mailing address

PO Box 2400
Flagler Beach, FL 32136-2400
Phone (386) 439-9001

Other identifiers

IdentifierTypeStateIssuer
22770OtherFLBCBS

Other providers in Flagler Beach, FL

All providers in Flagler Beach, FL · Chiropractor in Florida

Sources for this page

Verify at the official NPI Registry.