Chagnon, Dominique Roch
Chagnon, Dominique Roch is an individual health care provider with primary practice located at 6935 Old Canton Rd Ste A, Ridgeland MS 39157. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Chagnon, Dominique Roch can be contacted via phone (601) 956-6050.Contact Information
Primary practice address
6935 Old Canton Rd Ste A
Ridgeland MS 39157
Phone: (601) 956-6050
Fax: (601) 952-0738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 0875 | Mississippi |
Profile Details
| NPI number | 1609953843 |
|---|---|
| LBN Legal business name | Chagnon, Dominique Roch |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609953843 | NPPES |
| Mississippi | MEDICAID | 00114952 | |
| Mississippi | MEDICAID | 09015779 |
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