Cajun Spine And Sport, Llc in Lafayette - Chiropractor
Cajun Spine And Sport, Llc - NPI 1801057120
Cajun Spine And Sport, Llc is a Chiropractor in Lafayette, Louisiana. Cajun Spine And Sport, Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Cajun Spine And Sport, Llc is 1801057120. The last update date is 2008-06-19.
Cajun Spine And Sport, Llc's current location address is 1602 W Pinhook Rd, Lafayette, Louisiana. You can contact this provider via phone number 3372612669. The mailing address for Cajun Spine And Sport, Llc is 1602 W Pinhook Rd, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cajun Spine And Sport, Llc |
|---|---|
| Address | 1602 W Pinhook Rd, Lafayette, Louisiana |
| Phone Number | 3372612669 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Boudreaux L. Kristin |
| Credentials | D.C. |
| Telephone Number | 3372612669 |
NPI Number Detail
| NPI Number | 1801057120 |
|---|---|
| Provider Enumeration Date | 2008-06-19 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | 1602 W Pinhook Rd |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705083735 |
| Phone Number | 3372612669 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1467 |
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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 inte |
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What is the unique identifier code issued to Cajun Spine And Sport, Llc by the Centers for Medicare & Medicaid Services?
The Cajun Spine And Sport, Llc has been assigned the NPI (National Provider Identifier) 1801057120. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Cajun Spine And Sport, Llc is physically located?
The Cajun Spine And Sport, Llc is situated at the following address: 1602 W Pinhook Rd, Lafayette, LA 705083735.
What is Cajun Spine And Sport, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Cajun Spine And Sport, Llc's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801057120 to Cajun Spine And Sport, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1801057120 to Cajun Spine And Sport, Llc on 2008-06-19.
As of what date were the details related to Cajun Spine And Sport, Llc most recently updated or revised?
The information pertaining to Cajun Spine And Sport, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-19.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL