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Individual

DR. JAMES LEO SHOEMAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, CCSP

Contact information

Practice address
1013B WEST JUDGE PEREZ DRIVE, CHALMETTE, LA 70043
(504) 271-6500
(504) 279-7778
Mailing address
205/206 HIGHPOINT DRIVE, DIAMONDHEAD, MS 39525
(985) 710-2644

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
684
LA
111NR0200X
Radiology Chiropractor
684
LA
111NR0400X
Rehabilitation Chiropractor
684
LA
111NS0005X
Sports Physician Chiropractor
684
LA
111NX0800X
Orthopedic Chiropractor
684
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
59660
INDIVIDUAL
LA
01
6417817
CIGNA
LA
01
66307
OFFICE OF GROUP BENEFITS
KY
01
692818
AETNA
LA
01
721153266
DEFINITY HEALTHCARE
LA
01
N173011
FARA WORKERS COMP
LA
Enumeration date
06/17/2005
Last updated
10/11/2022
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