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NPI Code Detail

MEDICARE: LOUISIANA CHIROPRACTIC LLC

MEDICARE: LOUISIANA 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
1111N00000XChiropractor1677LA

General Provider Information

NPI Number : 1447652086
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOUISIANA CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : 415 COURT ST
Second Line :
City : PORT ALLEN
State : LA
Zip : 70767-2747
Country : US
Telephone Number : 225-336-1920
Fax Number : 225-343-8399
Provider Business Practice Location Address
First Line : 415 COURT ST
Second Line :
City : PORT ALLEN
State : LA
Zip : 70767-2747
Country : US
Telephone Number : 225-336-1920
Fax Number : 225-343-8399
Authorized Official
Title or Position : OWNER
Name : WILLIAM OWENS
Credential : DC
Telephone Number : 225-336-1920
Provider Enumeration Date : 09/25/2014
Last Update Date : 10/28/2014

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Directions to “LOUISIANA CHIROPRACTIC LLC ” Practice Location

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