Provider Demographics
NPI:1689859225
Name:SPINAL INTEGRITY, LLC.
Entity Type:Organization
Organization Name:SPINAL INTEGRITY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-546-1220
Mailing Address - Street 1:1608 WALNUT ST
Mailing Address - Street 2:SUITE 602 BOX 75
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-5457
Mailing Address - Country:US
Mailing Address - Phone:215-546-1220
Mailing Address - Fax:215-546-1005
Practice Address - Street 1:1608 WALNUT ST
Practice Address - Street 2:SUITE 602 BOX 75
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-5457
Practice Address - Country:US
Practice Address - Phone:215-546-1220
Practice Address - Fax:215-546-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002161L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty