Organization
UNDERWOOD UNDERWOOD LLC
Active
Other names
Underwood Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT C UNDERWOOD DC CCSP (PHYSICIAN)
(225) 293-1700
Entity
Organization
Contact information
Practice address
11851 COURSEY BLVD, SUITE A, BATON ROUGE, LA 70816
(225) 293-1700
(225) 293-1774
Mailing address
11851 COURSEY BLVD, SUITE A, BATON ROUGE, LA 70816
(225) 293-1700
(225) 293-1774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1160
LA
111N00000X
Chiropractor
304
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G3179
BLUE CROSS
LA
01
—
G3181
BLUE CROSS
LA
Enumeration date
11/27/2006
Last updated
11/18/2008
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