Individual
DR. RICKEY LYNN PREWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3121 VAN BUREN ST, SUITE B, BAKER, LA 70714-3452
(225) 774-5566
(225) 774-8855
Mailing address
3121 VAN BUREN ST, SUITE B, BAKER, LA 70714-3452
(225) 774-5566
(225) 774-8855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1169
AR
111N00000X
Chiropractor
608
TN
111N00000X
Chiropractor
Primary
800
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10984758
CAQH
LA
05
—
1955604
—
LA
01
—
4770113
CIGNA
LA
Enumeration date
10/12/2006
Last updated
04/09/2008
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