Provider Demographics
NPI:1205017407
Name:LIPINSKI CHIROPRACTIC, PA
Entity Type:Organization
Organization Name:LIPINSKI CHIROPRACTIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SEBASTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-620-7111
Mailing Address - Street 1:182 THOMAS JOHNSON DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4407
Mailing Address - Country:US
Mailing Address - Phone:301-620-7111
Mailing Address - Fax:301-620-2005
Practice Address - Street 1:182 THOMAS JOHNSON DR
Practice Address - Street 2:SUITE 201
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4407
Practice Address - Country:US
Practice Address - Phone:301-620-7111
Practice Address - Fax:301-620-2005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02055111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD287M385FMedicare UPIN