Provider Demographics
NPI:1073869129
Name:CONNECT CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:CONNECT CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROMAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:337-381-5862
Mailing Address - Street 1:723 HALPHEN ST
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-3235
Mailing Address - Country:US
Mailing Address - Phone:337-381-6852
Mailing Address - Fax:
Practice Address - Street 1:600 E PINHOOK RD STE 2
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-8336
Practice Address - Country:US
Practice Address - Phone:337-381-5862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1632111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty