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LIFELINE CHIROPRACTIC CENTER
NPI 1578653234
Chiropractor in Modesto, CA

Active since October 13, 2006
321 E GRANGER AVE, MODESTO, CA 95350(209) 238-3333(209) 238-3249 Get Directions Write a Review

NPPES record last updated: October 5, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lifeline Chiropractic Center NPPES

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

LIFELINE CHIROPRACTIC CENTER (NPI 1578653234) is a healthcare organization registered as a chiropractor in Modesto, California and active in the NPI registry since October 2006. The organization lists Bradley D Koehn, Doctor Owner, as its authorized official.

NPPES Registry Identity

NPI1578653234
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBRADLEY KOEHN CHIROPRACTIC CORPORATION
Location Address321 E GRANGER AVEModesto, CA 95350-4304
Mailing Address321 E Granger AveModesto, CA 95350-4304 · (209) 238-3333 · Fax (209) 238-3249
Phone(209) 238-3333
Fax(209) 238-3249
Organization SubpartNo
Authorized OfficialBradley D KoehnDoctor Owner · (209) 238-3333
Enumeration DateOctober 13, 2006
Last NPPES UpdateOctober 5, 2007
✔ NPI 1578653234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC230341
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.
321 E GRANGER AVE, Modesto, CA 95350
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Other Names 1

Doing Business AsLifeline Chiropractic Center

Other Identifiers 3

OtherZZZ07887ZBlue Shield
Medicare UPINU80943
Medicare ID-Type UnspecifiedZZZ29738ZCA

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRADLEY D KOEHN DC
Chiropractor
321 E GRANGER AVE
MODESTO, CA 95350
Stanislaus County (209) 238-3333

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 Bradley Koehn Chiropractic Corporation's NPI number?

The NPI number for Bradley Koehn Chiropractic Corporation is 1578653234. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider is doing business as Lifeline Chiropractic Center.

Where is Bradley Koehn Chiropractic Corporation located?

Bradley Koehn Chiropractic Corporation is located at 321 E Granger Ave, Modesto, CA 95350. The listed phone number is (209) 238-3333.

What is Bradley Koehn Chiropractic Corporation'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 Bradley Koehn Chiropractic Corporation was last updated on October 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.