Healthcare Provider Details

I. General information

NPI: 1760315808
Provider Name (Legal Business Name): VIRTUS CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 INDEPENDENCE BLVD
LAFAYETTE LA
70506-6086
US

IV. Provider business mailing address

607 E ANDING ST
RAYNE LA
70578-6948
US

V. Phone/Fax

Practice location:
  • Phone: 337-306-9527
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH WARE
Title or Position: CHIROPRACTOR
Credential:
Phone: 337-384-2030