Provider Demographics
NPI:1790071579
Name:JAMES LEFEVER, DC, LTD
Entity Type:Organization
Organization Name:JAMES LEFEVER, DC, LTD
Other - Org Name:ALIGN YOUR SPINE CHIROPRACTIC WELLNESS CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:LEFEVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-642-5446
Mailing Address - Street 1:PO BOX 549
Mailing Address - Street 2:
Mailing Address - City:CHANHASSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55317-0549
Mailing Address - Country:US
Mailing Address - Phone:952-229-7464
Mailing Address - Fax:
Practice Address - Street 1:10721 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-1001
Practice Address - Country:US
Practice Address - Phone:952-229-7464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVBM178YMedicare UPIN