Individual
MR. DOMINIQUE ROCH CHAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6935 OLD CANTON RD, STE A, RIDGELAND, MS 39157
(601) 956-6050
(601) 952-0738
Mailing address
6935 OLD CANTON RD, STE A, RIDGELAND, MS 39157
(601) 956-6050
(601) 952-0738
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0875
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114952
—
MS
05
—
09015779
—
MS
Enumeration date
11/01/2006
Last updated
07/09/2007
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