Active NPIOrganization

Lightsource Chiropractic, LLC

Chiropractor in Clinton, New Jersey

NPI Number1679023154
Practice location
6 East Main Street, Suite 6, Clinton, NJ 08809
Fax
—
Last updated
October 10, 2016

Lightsource Chiropractic, LLC is a healthcare organization based in Clinton, NJ. Lightsource Chiropractic, LLC practices in Clinton, NJ. The NPI Number for Lightsource Chiropractic, LLC is 1679023154 and holds a License No. mc05797 (NJ). The current practice location address for Lightsource Chiropractic, LLC is 6 East Main Street, Suite 6, Clinton, NJ 08809 and can be reached out via phone at 908-399-3499.

Provider Profile Details

NPI Number
1679023154
Provider Name
Lightsource Chiropractic, LLC
Provider Entity Type
Organization
Address
6 East Main Street, Suite 6, Clinton, NJ 08809
Phone Number
908-399-3499
Primary Taxonomy
Chiropractor · 111N00000X
Organization Subpart
No
Authorized Official
Dr. Jodi Nichole Dinnerman, DC · Owner · 908-399-3499
Provider Enumeration Date
October 10, 2016
Last Update Date
October 10, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 East Main Street
Suite 6
Clinton, NJ 08809
Zip
08809
Phone Number
908-399-3499
Clinton, NJ 08809Get directions →

Provider Business Mailing Address Details

Address
6 East Main Street
Suite 6
Clinton, NJ 08809
City
Clinton
State
NJ
Zip
08809
Phone Number
908-399-3499

License Information

License Number
mc05797
License State
NJ
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lightsource Chiropractic, LLC?

The NPI number of Lightsource Chiropractic, LLC is 1679023154. It was assigned on October 10, 2016 and is currently active in the NPPES registry.

What is the specialty of Lightsource Chiropractic, LLC?

Lightsource Chiropractic, LLC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number mc05797.

Where does Lightsource Chiropractic, LLC practice?

The practice location is 6 East Main Street, Suite 6, Clinton, NJ 08809. The office can be reached at 908-399-3499 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679023154 directly on the NPPES registry website.

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