Organization · NPI-2
100 Percent Chiropractic
Chiropractor · Lake Charles, LA
NPI number1124521380
StatusActive
Last updated in NPPESMar 14, 2018
Details
- NPI
- 1124521380
- Entity type
- Organization (NPI-2)
- Legal business name
- 100 Percent Chiropractic
- Organization subpart
- No
- Enumeration date
- Mar 14, 2018
- Last updated
- Mar 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | LA | Yes |
| 111NP0017X | Chiropractor, Pediatric Chiropractor | – | LA |
Other names
- Dr. Gary Mertz (Doing Business As)
Practice location
2301 E Prien Lake RdLake Charles, LA 70601-7976
Phone 337-477-0600 · Fax 337-474-4935
Mailing address
2301 E Prien Lake RdLake Charles, LA 70601-7976
Phone 337-477-0600 · Fax 337-474-4935
Authorized official
Kathleen Janelle Roush
Chief Financial Officer
3374770600
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