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NPI Code Detail

MEDICARE: ROLLETTE CHIROPRACTIC CENTER

MEDICARE: ROLLETTE CHIROPRACTIC CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor732LA

General Provider Information

NPI Number : 1275720302
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROLLETTE CHIROPRACTIC CENTER
Provider Business Mailing Address
First Line : 2108 RUE SIMONE
Second Line :
City : HAMMOND
State : LA
Zip : 70403-5728
Country : US
Telephone Number : 985-345-9504
Fax Number :
Provider Business Practice Location Address
First Line : 2108 RUE SIMONE
Second Line :
City : HAMMOND
State : LA
Zip : 70403-5728
Country : US
Telephone Number : 985-345-9504
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. DALE A. ROLLETTE
Credential : DC
Telephone Number : 985-345-9504
Provider Enumeration Date : 10/02/2007
Last Update Date : 01/31/2008

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Directions to “ROLLETTE CHIROPRACTIC CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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