Individual
DALE ALLEN ROLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2108 RUE SIMONE, HAMMOND, LA 70403-5728
(985) 345-9504
(985) 345-9546
Mailing address
2108 RUE SIMONE, HAMMOND, LA 70403-5728
(985) 345-9504
(985) 345-9546
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
732
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2280A
BCBS FOR OFFICE
LA
01
—
3118A
BLUECROSS BLUESHIELD
LA
01
—
350047219
RAILROAD MEDICARE
LA
01
—
4290964
AETNA FOR OFFICE
LA
01
—
5C032
MEDICARE FOR OFFICE
LA
01
—
DD7261
OFFICE RAILROAD MEDICARE
LA
Enumeration date
07/11/2006
Last updated
02/15/2012
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