Grimsley, Connie L

Grimsley, Connie L is an individual health care provider with primary practice located at 208 W Gloria Switch Rd Ste 211 , Lafayette LA 70507-3409. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Grimsley, Connie L can be contacted via phone (337) 565-4082.

Contact Information

Primary practice address
208 W Gloria Switch Rd Ste 211 Lafayette LA 70507-3409
Phone: (337) 565-4082
Fax: (888) 510-5167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1335 Louisiana

Profile Details

NPI number 1053362459
LBN Legal business name Grimsley, Connie L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jun 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053362459 NPPES
Louisiana Other G8613 BLUE CROSS BLUE SHIELD
Louisiana Other 664738 BLUE CROSS BLUE SHIELD

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