Provider Demographics
NPI:1578192753
Name:PURSER CHIROPRACTIC LLC.
Entity Type:Organization
Organization Name:PURSER CHIROPRACTIC LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHESSA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:PURSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:985-467-7000
Mailing Address - Street 1:PO BOX 981
Mailing Address - Street 2:
Mailing Address - City:PONCHATOULA
Mailing Address - State:LA
Mailing Address - Zip Code:70454-0981
Mailing Address - Country:US
Mailing Address - Phone:985-467-7000
Mailing Address - Fax:
Practice Address - Street 1:1170 HIGHWAY 51 # B
Practice Address - Street 2:
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454-6365
Practice Address - Country:US
Practice Address - Phone:985-467-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-08
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty