MEDICARE: ABSHIRE CHIROPRACTIC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	1382	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4366769750	OTHER	LA	BLUE CROSS/SHIELD LA
2	810770090	OTHER	LA	PHCS

General Provider Information

NPI Number	:	1417987314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSHIRE CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	PO BOX 490
Second Line	:
City	:	MAURICE
State	:	LA
Zip	:	70555-0490
Country	:	US
Telephone Number	:	337-898-0522
Fax Number	:	337-898-2025

Provider Business Practice Location Address
First Line	:	7992 MAURICE AVENUE
Second Line	:
City	:	MAURICE
State	:	LA
Zip	:	70555-0490
Country	:	US
Telephone Number	:	337-898-0522
Fax Number	:	337-898-2025

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	DR. ROWDY CAIN ABSHIRE
Credential	:	D.C., B.S.R.T.
Telephone Number	:	337-898-0522

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	11/19/2009

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Directions to “ABSHIRE CHIROPRACTIC, LLC ” Practice Location

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