Organization
JENNINGS CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICKEY JOSEPH JENNINGS D.C. (CHIROPRACTIC PHYSICIAN OWNER)
(985) 449-1000
Entity
Organization
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
891
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
LA
01
—
1700850617
NATIONAL PROVIDER NUMBER
LA
Enumeration date
03/14/2007
Last updated
08/22/2020
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