Individual
DR. CRAIG JAMES BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2055 GAUSE BLVD E, SUITE 300, SLIDELL, LA 70461-5432
(985) 661-9600
(985) 661-9933
Mailing address
2055 GAUSE BLVD E, SUITE 300, SLIDELL, LA 70461-5432
(985) 661-9600
(985) 661-9933
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1195
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2513752
UNITED HEALTHCARE
LA
01
—
617110
AMERICAN CHIROPRACTIC NETWORK
LA
01
—
7162744
AETNA
LA
01
—
G4449
BLUE CROSS OF LOUISIANA
LA
Enumeration date
01/24/2006
Last updated
05/01/2008
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