Lafayette Chiropractic Clinic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH3421 Issued in FL

Legal business name

LAFAYETTE CHIROPRACTIC CLINIC PA

Practice address

1844 Fiddler CT
Suite B
Tallahassee, FL 32308-4450

Phone

(850) 222-2952

Fax

(850) 877-0845

NPI assigned

Dec 5, 2011

Organization subpart

No

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

Authorized official

Name

Jan Elkjaer Jensen, DC

Title

Owner

Phone

(850) 222-2952

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1457629552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 FIDDLER CT",
            "address_2": "SUITE B",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084450",
            "telephone_number": "850-222-2952",
            "fax_number": "850-877-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 FIDDLER CT",
            "address_2": "SUITE B",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084450",
            "telephone_number": "850-222-2952",
            "fax_number": "850-877-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "ELKJAER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-222-2952",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Grande Belle Estates
• Laboratory Corporation of America
• Laboratory Corporation of America
• Bethany Lacey, MSW
• Erin Lackinger, M.ED.
• Brittany Leigh Laffitte, LCSW
• Gregory Sydnor Laffitte, PA-C
• Scott Vincent Lafond, M.S.
• Angele Margarita Lagrave, LMT
• Evan Lahtinen, CRNA

• Chiropractor in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.