Organization
BROADUS CHIROPRACTIC SERVICES, LLC
Active
Other names
Spinecare Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON MATTHEW BROADUS D.C. (OWNER)
(985) 400-5300
Entity
Organization
Contact information
Practice address
102 FONTAINBLEAU DR # D1, MANDEVILLE, LA 70471-6518
(985) 400-5300
Mailing address
102 FONTAINBLEAU DR UNIT D1, MANDEVILLE, LA 70471-6518
(985) 400-5300
(985) 400-5301
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1535
LA
Other
Enumeration date
05/21/2013
Last updated
03/05/2021
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