Cedar Lake Chiropractic Inc.

LBN: Cedar Lake Chiropractic Inc.
Cedar Lake Chiropractic Inc. is an health care organization with primary practice located at 935 Cedar Lake Rd , Biloxi MS 39532-2128. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Cedar Lake Chiropractic Inc. can be contacted via phone (228) 392-4000, or through Johnson, Jarrett Dale via phone (228) 392-4000.

Contact Information

Primary practice address
935 Cedar Lake Rd Biloxi MS 39532-2128
Phone: (228) 392-4000
Fax: (228) 392-4001
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jarrett Dale Doctor of Chiropractic (DC)
Phone: (228) 392-4000

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1052 Mississippi

Profile Details

NPI number 1598000309
LBN Legal business name Cedar Lake Chiropractic Inc.
DBA Doing business as
Authorized official Johnson, Jarrett Dale Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2012
Last updated Dec 5th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598000309 NPPES
Mississippi MEDICAID 02733326

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