Organization
BACK PAIN CHIROPRACTIC
Active
Other names
Ballis Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIE T BALLIS DC (OWNER/CHIROPRACTOR)
(318) 746-4445
Entity
Organization
Contact information
Practice address
2170 AIRLINE DR, BOSSIER CITY, LA 71111-3106
(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
12/01/2010
Last updated
12/01/2010
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