Life Source Chiropractic Inc.

LBN: Life Source Chiropractic Inc.
Life Source Chiropractic Inc. is an health care organization with primary practice located at 90 Mahoney Ave , Rutland VT 05701-4836. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Life Source Chiropractic Inc. can be contacted via phone (802) 773-0010, or through Galster, Jared via phone (802) 773-0010.

Contact Information

Primary practice address
90 Mahoney Ave Rutland VT 05701-4836
Phone: (802) 773-0010
Fax: (802) 773-0010
Website:
Map and Directions
Authorized official contact:
Name: Galster, Jared Doctor of Chiropractic (DC)
Phone: (802) 773-0010

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0060072505 Vermont

Profile Details

NPI number 1669731477
LBN Legal business name Life Source Chiropractic Inc.
DBA Doing business as
Authorized official Galster, Jared Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2012
Last updated Aug 26th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669731477 NPPES
Vermont Other 0028156 MEDICARE PTAN
Vermont MEDICAID 1022039 MEDICARE PTAN

Popular Providers