Healthcare Provider Details

I. General information

NPI: 1265494736
Provider Name (Legal Business Name): BEUTLER ENGLAND CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 ENTERPRISE BLVD
LAKE CHARLES LA
70601
US

IV. Provider business mailing address

1200 ENTERPRISE BLVD
LAKE CHARLES LA
70601
US

V. Phone/Fax

Practice location:
  • Phone: 337-439-9313
  • Fax: 337-439-8045
Mailing address:
  • Phone: 337-439-9313
  • Fax: 337-439-8045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DONALD R ENGLAND
Title or Position: PARTNER
Credential: DC
Phone: 337-439-9313