Organization
JACOBS CHIROPRACTIC CLINIC, APCC
Active
Other names
Jacobs Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBELIA 'BEA' S. JACOBS CRT (SEC/TREAS)
(985) 732-3677
Entity
Organization
Contact information
Practice address
225 MEMPHIS ST, BOGALUSA, LA 70427-3843
(985) 732-3677
(985) 732-3672
Mailing address
225 MEMPHIS ST, BOGALUSA, LA 70427-3843
(985) 732-3677
(985) 732-3672
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443131
—
LA
01
—
F6198
LA BC/BS
LA
Enumeration date
07/12/2006
Last updated
08/22/2020
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