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NPI Code Detail

MEDICARE: MARTELLO CHIROPRACTIC LLC

MEDICARE: MARTELLO CHIROPRACTIC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor865LA

General Provider Information

NPI Number : 1699989129
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARTELLO CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : 1962 ONEAL LN
Second Line : STE I
City : BATON ROUGE
State : LA
Zip : 70816-3250
Country : US
Telephone Number : 225-754-7777
Fax Number : 225-751-7795
Provider Business Practice Location Address
First Line : 1962 ONEAL LN
Second Line : STE I
City : BATON ROUGE
State : LA
Zip : 70816-3250
Country : US
Telephone Number : 225-754-7777
Fax Number : 225-751-7795
Authorized Official
Title or Position : FIRST MANAGER MEMBER
Name : DR. NED JOSEPH MARTELLO
Credential : DC
Telephone Number : 225-754-7777
Provider Enumeration Date : 05/10/2007
Last Update Date : 08/22/2020

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Directions to “MARTELLO CHIROPRACTIC LLC ” Practice Location

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