Theriot, Michael Todd
Theriot, Michael Todd is an sole proprietor health care provider with primary practice located at 730 Bayou Pines East Dr Ste A, Lake Charles LA 70601-7184. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Theriot, Michael Todd can be contacted via phone (337) 433-7551.Contact Information
Primary practice address
730 Bayou Pines East Dr Ste A
Lake Charles LA 70601-7184
Phone: (337) 433-7551
Fax: (337) 433-6378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 998 | Louisiana |
Profile Details
| NPI number | 1871691493 |
|---|---|
| LBN Legal business name | Theriot, Michael Todd |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jan 8th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871691493 | NPPES |
| Louisiana | MEDICAID | 1652954 |
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