Organization
PULLIAM CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDIE R PULLIAM D.C. (DOCTOR)
(985) 649-0023
Entity
Organization
Contact information
Practice address
2055 GAUSE BLVD E, SUITE 300, SLIDELL, LA 70461-5432
(985) 649-0023
(985) 661-9933
Mailing address
PO BOX 6776, SLIDELL, LA 70469-6776
(985) 649-0023
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
562
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3258A
BLUE CROSS BLUE SHIELD LA
LA
01
—
H6150
BLUE CROSS BLUE SHIELD LA
LA
Enumeration date
03/13/2007
Last updated
08/22/2020
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