Anthony J Palombo, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

181 Issued in LA

Practice address

805 Bayou Pines West Drive
Suite a
Lake Charles, LA 70601-9605

Phone

(337) 437-3991

Fax

(337) 437-3958

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578620662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 BAYOU PINES WEST DRIVE",
            "address_2": "SUITE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706019605",
            "telephone_number": "337-437-3991",
            "fax_number": "337-437-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 BAYOU PINES WEST DRIVE",
            "address_2": "SUITE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706019605",
            "telephone_number": "337-437-3991",
            "fax_number": "337-437-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMBO",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "LA",
            "license": "181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacer Health Management Corporation
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• Ryan Keogh Palermo, PA-C
• Palliative Care at Heart, LLC
• Christine Camille Palma, DPM
• Benjamin J Palombo, M.D.
• Brooke Palombo, BCBA
• David Palombo
• Pantheon ABA, LLC
• Paradigm Shift Behavioral Health & Wellness Center LLC

• Nutrition Chiropractor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Nutrition Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.