Connie L Grimsley in Lafayette - Chiropractor

Connie L Grimsley - NPI 1053362459

Connie L Grimsley is a Chiropractor in Lafayette, Louisiana. Connie L Grimsley practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Connie L Grimsley is 1053362459. The last update date is 2019-06-25.

Connie L Grimsley's current location address is 208 W Gloria Switch Rd Ste 211, Lafayette, Louisiana. You can contact this provider via phone number 3375654082 and fax number 8885105167. The mailing address for Connie L Grimsley is 208 W Gloria Switch Rd Ste 211, Lafayette, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Connie L Grimsley
Address 208 W Gloria Switch Rd Ste 211, Lafayette, Louisiana
Phone Number 3375654082
Fax Number 8885105167
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1053362459
Provider Enumeration Date 2006-05-12
Last Updated Date 2019-06-25

Provider Mailing Address Detail

Address 208 W Gloria Switch Rd Ste 211
City Lafayette
State Louisiana (LA)
Post Code 705073409
Phone Number 3375654082
Fax Number 8885105167

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 1335
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G8613 LA BLUE CROSS BLUE SHIELD
664738 LA UNITED HEALTHCARE

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FAQs about Connie L Grimsley

What is the unique 10-digit identifier code assigned to Connie L Grimsley by the Centers for Medicare & Medicaid Services?

The Connie L Grimsley has been issued the NPI (National Provider Identifier) 1053362459 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Connie L Grimsley is located?

The Connie L Grimsley is situated at the following address: 208 W Gloria Switch Rd Ste 211, Lafayette, LA, 705073409.

What is Connie L Grimsley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Connie L Grimsley is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1053362459 to Connie L Grimsley?

The Connie L Grimsley received its 1053362459 assignment from the Centers for Medicare & Medicaid Services on 2006-05-12.

As of what date were the details related to Connie L Grimsley most recently updated or revised?

The information pertaining to Connie L Grimsley, including its address, specialty, and other relevant details, was last updated or revised on 2019-06-25.

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