100 Percent Chiropractic
Organization Active NPI Chiropractor · Lake Charles, LA
NPI 1124521380 · NPPES record last updated Mar 14, 2018
Key facts
- NPI
- 1124521380
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- 100 PERCENT CHIROPRACTIC
- Practice address
- 2301 E Prien Lake Rd
Lake Charles, LA 70601-7976 - Phone
- (337) 477-0600
- Fax
- (337) 474-4935
- NPI assigned
- Mar 14, 2018
- Organization subpart
- No
Authorized official
- Name
- Ms. Kathleen Janelle Roush
- Title
- Chief Financial Officer
- Phone
- (337) 477-0600
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | LA | Yes | |
| Pediatric Chiropractor |
111NP0017X | LA |
Addresses
Primary practice location
2301 E Prien Lake Rd
Lake Charles, LA 70601-7976
Mailing address
2301 E Prien Lake Rd
Lake Charles, LA 70601-7976
Phone (337) 477-0600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1363 | Other | LA | LOUISIANA STATE BOARD OF CHIROPRACTIC EXAMINERS |
Other names
- Dr. Gary Mertz
Other providers in Lake Charles, LA
- 100 Percent Chiropractic Williams LLC
- 12 Hour Massage 2 LLC
- 12 Hour Massage LLC
- 1918 Winter Street Operating Co LLC
- 1St Abundant Home Care, LLC
All providers in Lake Charles, LA · Chiropractor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.