Individual
LOUIE T BALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2170 AIRLINE DR, BOSSIER CITY, LA 71111
(318) 746-4445
(318) 746-0353
Mailing address
2170 AIRLINE DR, BOSSIER CITY, LA 71111-3106
(318) 746-4445
(318) 746-0353
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
768
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2918A
BLUE CROSS BLUE SHIELD
LA
Enumeration date
08/16/2006
Last updated
02/17/2009
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