Healthcare Provider Details

I. General information

NPI: 1992435317
Provider Name (Legal Business Name): CHAUMONT CHIROPRACTIC CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2022
Last Update Date: 06/16/2022
Certification Date: 06/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 SAMPSON ST
WESTLAKE LA
70669-5311
US

IV. Provider business mailing address

1808 N MICHAEL SQ
LAKE CHARLES LA
70611-3638
US

V. Phone/Fax

Practice location:
  • Phone: 337-436-3145
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. CARLEIGH CHAUMONT
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 337-377-9251