Acadian Chiroprctic and Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1573 Issued in LA

Legal business name

ACADIAN CHIROPRCTIC AND REHAB LLC

Practice address

500 E 7TH St
Thibodaux, LA 70301-3615

Phone

(985) 446-0062

Fax

(985) 447-0079

NPI assigned

Aug 16, 2011

Last updated

Aug 16, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jason P Pellegrin, D.C.

Title

Owner

Phone

(985) 446-0062

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1164701520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 7TH ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013615",
            "telephone_number": "985-446-0062",
            "fax_number": "985-447-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 7TH ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013615",
            "telephone_number": "985-446-0062",
            "fax_number": "985-447-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIAN CHIROPRCTIC AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "PELLEGRIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-446-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.