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NPI Code Detail

MEDICARE: SPINALAID CENTERS OF AMERICA

MEDICARE: SPINALAID CENTERS OF AMERICA
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
1111NX0100XOccupational Health Chiropractor1258LA

General Provider Information

NPI Number : 1922255603
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPINALAID CENTERS OF AMERICA
Provider Business Mailing Address
First Line : 1210 FEDERAL AVE
Second Line :
City : MORGAN CITY
State : LA
Zip : 70380-2824
Country : US
Telephone Number : 985-385-1569
Fax Number :
Provider Business Practice Location Address
First Line : 1210 FEDERAL AVE
Second Line :
City : MORGAN CITY
State : LA
Zip : 70380-2824
Country : US
Telephone Number : 985-385-1569
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. SHADE D. RATCLIFF
Credential : DC
Telephone Number : 985-385-1569
Provider Enumeration Date : 08/25/2008
Last Update Date : 08/25/2008

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Directions to “SPINALAID CENTERS OF AMERICA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.