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LIFE CHANGE SPECIALTIES L L C
NPI 1063676617
Chiropractor in Hanover, PA

Active since July 14, 2008
439 EISENHOWER DR, HANOVER, PA 17331(717) 634-2398(717) 634-2401 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Life Change Specialties L L C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE CHANGE SPECIALTIES L L C (NPI 1063676617) is a healthcare organization registered as a chiropractor in Hanover, Pennsylvania and active in the NPI registry since July 2008. The organization lists Gerard-majella Kosko, Owner, as its authorized official.

NPPES Registry Identity

NPI1063676617
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFE CHANGE SPECIALTIES L L C
Location Address439 EISENHOWER DRHanover, PA 17331-5213
Mailing Address439 Eisenhower DrHanover, PA 17331-5213 · (717) 634-2398 · Fax (717) 634-2401
Phone(717) 634-2398
Fax(717) 634-2401
Organization SubpartNo
Authorized OfficialGerard-majella KoskoOwner · (717) 634-2398
Enumeration DateJuly 14, 2008
Last NPPES UpdateSeptember 15, 2008
✔ NPI 1063676617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC008690
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
439 EISENHOWER DR, Hanover, PA 17331
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Other Identifiers 2

Medicare UPINU56839PA
Medicare PIN092186UT8PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Change Specialties L L C's NPI number?

The NPI number for Life Change Specialties L L C is 1063676617. It was assigned to this organization in the NPPES registry on July 14, 2008.

Where is Life Change Specialties L L C located?

Life Change Specialties L L C is located at 439 Eisenhower Dr, Hanover, PA 17331. The listed phone number is (717) 634-2398.

What is Life Change Specialties L L C's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Life Change Specialties L L C was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.