# OLD TOWN CHIROP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780737429
- **Authorized official:** BUFFIE L ROME IX (EXECUTIVE ASSISTANT)
- **Authorized official phone:** (504) 467-0302

## Contact information

- **Practice address:** 3431 CLEVELAND AVE, SUITE G, COLUMBUS, OH 43224-2920
- **Practice address phone:** (614) 784-0002
- **Practice address fax:** (614) 784-0904
- **Mailing address:** 1919 VETERANS BLVD, SUITE 200, KENNER, LA 70062
- **Mailing address fax:** (504) 467-0093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020