Individual
DR. ALVIN ALLEN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1115 MCCREIGHT ST, BASTROP, LA 71220-3241
(318) 281-2992
(318) 281-2994
Mailing address
1115 MCCREIGHT ST, BASTROP, LA 71220-3241
(318) 281-2992
(318) 281-2994
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1147
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0344
BLUE CROSS BLUE SHILED
LA
Enumeration date
06/27/2006
Last updated
07/08/2007
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