Provider Demographics
NPI:1366621427
Name:LUBLINER CHIROPRACTIC
Entity type:Organization
Organization Name:LUBLINER CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:D
Authorized Official - Last Name:LUBLINER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-871-5200
Mailing Address - Street 1:4110 ASPEN HILL RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-2853
Mailing Address - Country:US
Mailing Address - Phone:301-871-5200
Mailing Address - Fax:301-871-7516
Practice Address - Street 1:4110 ASPEN HILL RD
Practice Address - Street 2:SUITE 103
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-2853
Practice Address - Country:US
Practice Address - Phone:301-871-5200
Practice Address - Fax:301-871-7516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01375111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM484OtherBLUE CROSS - CARE FIRST
MDU24381Medicare UPIN
MDM484OtherBLUE CROSS - CARE FIRST