Organization
BACK ESSENTIALS, INC.
Active
Other names
Back Essentials, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BROOKE A TARVIN (PRESIDENT)
(318) 425-2225
Entity
Organization
Contact information
Practice address
3431 N MARKET ST, SHREVEPORT, LA 71107-3812
(318) 425-2225
(318) 425-2221
Mailing address
3431 N MARKET ST, SHREVEPORT, LA 71107-3812
(318) 425-2225
(318) 425-2221
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1060
LA
Other
Enumeration date
09/18/2008
Last updated
03/05/2009
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