Individual
HEATH MICHAEL MATHERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4777 HIGHWAY 1, RACELAND, LA 70394-2626
(985) 537-5512
(985) 537-5514
Mailing address
PO BOX 117, LOCKPORT, LA 70374-0117
(985) 532-6800
(985) 532-6813
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1285
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1151874
—
LA
01
—
7388456
AETNA
LA
Enumeration date
10/25/2006
Last updated
06/16/2016
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