Healthcare Provider Details

I. General information

NPI: 1528167574
Provider Name (Legal Business Name): BEN J SAVOIE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 06/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9045 JEFFERSON HWY
RIVER RIDGE LA
70123
US

IV. Provider business mailing address

800 W MAIN ST
NEW IBERIA LA
70560
US

V. Phone/Fax

Practice location:
  • Phone: 504-737-2834
  • Fax: 504-737-4571
Mailing address:
  • Phone: 337-367-2567
  • Fax: 337-367-2578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1221
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: