Organization
PREWITT CHIROPRACTIC CLINIC A PROFESSIONAL CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKEY LYNN PREWITT D.C. (CHIROPRACTOR)
(225) 774-5566
Entity
Organization
Contact information
Practice address
3121 VAN BUREN ST, SUITE B, BAKER, LA 70714-3464
(225) 774-5566
(225) 774-8855
Mailing address
3121 VAN BUREN ST, SUITE B, BAKER, LA 70714-3464
(225) 774-5566
(225) 774-8855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
800
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1955604
—
LA
01
—
3162F
BLUE CROSS BLUE SHIELD
LA
01
—
4770113
CIGNA
LA
01
—
5131436
AETNA
LA
Enumeration date
07/11/2007
Last updated
04/09/2008
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