Organization
MONROE CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T HARVEY D.C. (OWNER)
(318) 325-6685
Entity
Organization
Contact information
Practice address
1212 STUBBS AVE, MONROE, LA 71201-5622
(318) 325-6685
(318) 322-7425
Mailing address
1212 STUBBS AVE, MONROE, LA 71201-5622
(318) 325-6685
(318) 322-7425
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1134
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4392998990
BLUE CROSS PROVIDER
LA
Enumeration date
02/14/2007
Last updated
08/22/2020
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