Provider Demographics
NPI:1265634968
Name:LUBELCZYK, JAIME L (DC, LAC)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:L
Last Name:LUBELCZYK
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 785
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:MA
Mailing Address - Zip Code:01005-0785
Mailing Address - Country:US
Mailing Address - Phone:413-237-5665
Mailing Address - Fax:
Practice Address - Street 1:531 SUMMER ST
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:MA
Practice Address - Zip Code:01005-9583
Practice Address - Country:US
Practice Address - Phone:413-237-5665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3224111N00000X
MA238695171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist