Individual
LOGAN PAUL AUTHEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1152 CANAL BLVD, THIBODAUX, LA 70301-4534
(985) 449-1000
(985) 449-1200
Mailing address
1152 CANAL BLVD, THIBODAUX, LA 70301-4534
(985) 449-1000
(985) 449-1200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2042
LA
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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