Healthcare Provider Details

I. General information

NPI: 1114939402
Provider Name (Legal Business Name): ANTHON CHIROPRACTIC CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 S CHERRY ST
HAMMOND LA
70403-4225
US

IV. Provider business mailing address

105 S CHERRY ST
HAMMOND LA
70403-4225
US

V. Phone/Fax

Practice location:
  • Phone: 985-542-1640
  • Fax: 985-542-3171
Mailing address:
  • Phone: 985-542-1640
  • Fax: 985-542-3171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number809
License Number StateLA

VIII. Authorized Official

Name: DR. GEORGE C ANTHON JR.
Title or Position: OWNER
Credential: D.C.
Phone: 985-542-1640