Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC004758L | PA |
N | 111NN0400X | Neurology | DC004758L | PA |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | AJ004758L | PA |
NPI | 1467554626 |
---|---|
Provider Name | Dr. Michael Lipkin |
First Address | Bensalem, PA 19020-2132 |
Second Address | Bensalem, PA 19020-2132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 16/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U22652 | (02) | PA |