Shreveport Chiropractic in Shreveport - Chiropractor
Shreveport Chiropractic - NPI 1245491695
Shreveport Chiropractic is a Chiropractor in Shreveport, Louisiana. Shreveport Chiropractic practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Shreveport Chiropractic is 1245491695. The last update date is 2008-06-18.
Shreveport Chiropractic's current location address is 1845 Line Ave, Shreveport, Louisiana. You can contact this provider via phone number 3184299494 and fax number 3184299492. The mailing address for Shreveport Chiropractic is 1845 Line Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shreveport Chiropractic |
|---|---|
| Address | 1845 Line Ave, Shreveport, Louisiana |
| Phone Number | 3184299494 |
| Fax Number | 3184299492 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER - OP |
|---|---|
| Authorized Official Name | Stimits Michael Grady |
| Credentials | D.C. |
| Telephone Number | 3184299494 |
NPI Number Detail
| NPI Number | 1245491695 |
|---|---|
| Provider Enumeration Date | 2008-06-18 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | 1845 Line Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711014611 |
| Phone Number | 3184299494 |
| Fax Number | 3184299492 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1264 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4362770100 | LA | BLUE CROSS/BLUE SHIELD OF LOUI |
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What is the Shreveport Chiropractic's unique identification number?
The Shreveport Chiropractic has been assigned the NPI (National Provider Identifier) Number 1245491695 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Shreveport Chiropractic is geographically located?
The Shreveport Chiropractic is physically situated at the following location: 1845 Line Ave, Shreveport, LA, 711014611.
What is the Shreveport Chiropractic's area of specialization and corresponding taxonomy classification?
The Shreveport Chiropractic's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1245491695 assigned to Shreveport Chiropractic?
The Shreveport Chiropractic was issued its 1245491695 on 2008-06-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Shreveport Chiropractic's information last updated?
The Shreveport Chiropractic's information was last updated on 2008-06-18.
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