MEDICARE: DR. MARC A PINTO D.C.

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
1	111N00000X	Chiropractor	2056	LA
2	111N00000X	Chiropractor	038-006081	IL

General Provider Information

NPI Number	:	1780705970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC A PINTO D.C.

Provider Business Mailing Address
First Line	:	8610B FERN AVE
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-5639
Country	:	US
Telephone Number	:	318-220-8753
Fax Number	:	318-220-8764

Provider Business Practice Location Address
First Line	:	8610B FERN AVE
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-5639
Country	:	US
Telephone Number	:	318-220-8753
Fax Number	:	318-220-8764

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	12/23/2025

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