Provider Demographics
NPI:1093483232
Name:A STERLING CLINIC, LLC
Entity Type:Organization
Organization Name:A STERLING CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAVITAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-937-2179
Mailing Address - Street 1:9835 LAKE WORTH RD STE 14
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2368
Mailing Address - Country:US
Mailing Address - Phone:561-642-6400
Mailing Address - Fax:561-642-8198
Practice Address - Street 1:9835 LAKE WORTH RD STE 14
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2368
Practice Address - Country:US
Practice Address - Phone:561-642-6400
Practice Address - Fax:561-642-8198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty