Provider Demographics
NPI:1467554626
Name:LIPKIN, MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:LIPKIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3237 BRISTOL RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2132
Mailing Address - Country:US
Mailing Address - Phone:215-638-8252
Mailing Address - Fax:215-891-8318
Practice Address - Street 1:3237 BRISTOL RD
Practice Address - Street 2:SUITE 102
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2132
Practice Address - Country:US
Practice Address - Phone:215-638-8252
Practice Address - Fax:215-891-8318
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004758L111N00000X, 111NN0400X
PAAJ004758L208100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN0400XChiropractic ProvidersChiropractorNeurology
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU22652Medicare UPIN