Healthcare Provider Details

I. General information

NPI: 1811657109
Provider Name (Legal Business Name): TANNER JOSEPH HEBERT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2021
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2443 RICE CAPITAL PKWY STE D
CROWLEY LA
70526-3183
US

IV. Provider business mailing address

179 GRANDE RUE
CHURCH POINT LA
70525-5048
US

V. Phone/Fax

Practice location:
  • Phone: 337-327-8820
  • Fax:
Mailing address:
  • Phone: 337-550-9981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1935
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: