Provider Demographics
NPI:1528222924
Name:PINHOOK CHIROPRACTIC CLINIC LLC
Entity Type:Organization
Organization Name:PINHOOK CHIROPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRIZZAFFI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:337-237-2273
Mailing Address - Street 1:100 LA RUE FRANCE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3112
Mailing Address - Country:US
Mailing Address - Phone:337-237-2273
Mailing Address - Fax:337-237-1765
Practice Address - Street 1:100 LA RUE FRANCE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3112
Practice Address - Country:US
Practice Address - Phone:337-237-2273
Practice Address - Fax:337-237-1765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty