Grimsley, Connie L
Grimsley, Connie L is an individual health care provider with primary practice located at 208 W Gloria Switch Rd Ste 211 , Lafayette LA 70507-3409. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Grimsley, Connie L can be contacted via phone (337) 565-4082.Contact Information
Primary practice address
208 W Gloria Switch Rd Ste 211
Lafayette LA 70507-3409
Phone: (337) 565-4082
Fax: (888) 510-5167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1335 | Louisiana |
Profile Details
| NPI number | 1053362459 |
|---|---|
| LBN Legal business name | Grimsley, Connie L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jun 25th, 2019 - about 7 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 | 1053362459 | NPPES |
| Louisiana | Other | G8613 | BLUE CROSS BLUE SHIELD |
| Louisiana | Other | 664738 | BLUE CROSS BLUE SHIELD |
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