Provider Demographics
NPI:1992435317
Name:CHAUMONT CHIROPRACTIC CENTER, LLC
Entity type:Organization
Organization Name:CHAUMONT CHIROPRACTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUMONT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:337-377-9251
Mailing Address - Street 1:1808 N MICHAEL SQ
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70611-3638
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:902 SAMPSON ST
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:LA
Practice Address - Zip Code:70669-5311
Practice Address - Country:US
Practice Address - Phone:337-436-3145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty