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General NPI Number Information
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NPI Number | 1417987314
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Entity Type | Organization
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Legal Business Name | ABSHIRE CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | 7992 MAURICE AVENUE
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City | MAURICE
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State | LA
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Zip | 70555-0490
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Country | US
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Telephone | 337-898-0522
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Fax | 337-898-2025
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Provider Business Mailing Address
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Address Line | PO BOX 490
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City | MAURICE
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State | LA
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Zip | 70555-0490
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Country | US
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Telephone | 337-898-0522
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Fax | 337-898-2025
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. ROWDY CAIN ABSHIRE
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Credential | D.C., B.S.R.T.
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Telephone | 337-898-0522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1382
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License Number State | LA
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