Organization
NA
Active
Organization
NA
Active
Other names
NHC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NA NA DC (CEO)
(555) 555-5555
Entity
Organization
Contact information
Practice address
3436 MAGAZINE ST # 7109, NEW ORLEANS, LA 70115-2413
(504) 224-9678
Mailing address
3436 MAGAZINE ST, NEW ORLEANS, LA 70115-2480
(555) 555-5555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770906182
PROVIDER NPI
LA
Enumeration date
11/25/2019
Last updated
02/11/2026
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