Shreveport Chiropractic

LBN: Shreveport Chiropractic
Shreveport Chiropractic is an health care organization with primary practice located at 1845 Line Ave , Shreveport LA 71101-4611. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Shreveport Chiropractic can be contacted via phone (318) 429-9494, or through Stimits, Grady Michael via phone (318) 429-9494.

Contact Information

Primary practice address
1845 Line Ave Shreveport LA 71101-4611
Fax: (318) 429-9492
Website:
Authorized official contact:
Name: Stimits, Grady Michael Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1264 Louisiana

Profile Details

NPI number 1245491695
LBN Legal business name Shreveport Chiropractic
DBA Doing business as
Authorized official Stimits, Grady Michael Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2008
Last updated Jun 18th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245491695 NPPES
Louisiana Other 4362770100 BLUE CROSS/BLUE SHIELD OF LOUISIANA

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