Healthcare Provider Details

I. General information

NPI: 1245363795
Provider Name (Legal Business Name): MICHAEL D HUFF D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1126 POLK ST
MANSFIELD LA
71052-2525
US

IV. Provider business mailing address

1126 POLK ST
MANSFIELD LA
71052-2525
US

V. Phone/Fax

Practice location:
  • Phone: 318-872-9200
  • Fax: 318-871-8568
Mailing address:
  • Phone: 318-872-9200
  • Fax: 318-871-8568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number794
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: