Provider Demographics
NPI:1811124464
Name:LEGER CHIROPRACTIC LLC
Entity type:Organization
Organization Name:LEGER CHIROPRACTIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIONEL
Authorized Official - Middle Name:JEAN LOUIS
Authorized Official - Last Name:LEGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-756-3940
Mailing Address - Street 1:209 NE 95TH ST
Mailing Address - Street 2:SUTIE 4
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-2745
Mailing Address - Country:US
Mailing Address - Phone:305-756-3940
Mailing Address - Fax:305-756-3970
Practice Address - Street 1:209 NE 95TH ST
Practice Address - Street 2:SUTIE 4
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2745
Practice Address - Country:US
Practice Address - Phone:305-756-3940
Practice Address - Fax:305-756-3970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty