Organization
DICKINSON CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER DICKINSON DC (OWNER)
(225) 665-3969
Entity
Organization
Contact information
Practice address
516 N RANGE AVE, DENHAM SPRINGS, LA 70726-2932
(225) 665-3969
Mailing address
PO BOX 83080, BATON ROUGE, LA 70884-3080
(225) 665-3969
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900H1889Z
BLUE CROSS LOUISIANA
LA
Enumeration date
09/30/2022
Last updated
09/30/2022
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