Back Essentials, INC.
Chiropractor, Orthopedic in Shreveport, LA. Organization (NPI-2).
NPI number1487803029
StatusActive
Last updated in NPPESMar 5, 2009
Details
- NPI
- 1487803029
- Entity type
- Organization (NPI-2)
- Legal business name
- Back Essentials, INC.
- Organization subpart
- No
- Enumeration date
- Sep 18, 2008
- Last updated
- Mar 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NX0800X | Chiropractor, Orthopedic | 1060 | LA | Yes |
Other names
- Back Essentials, INC. (Doing Business As)
Practice location
3431 N Market StShreveport, LA 71107-3812
Phone 318-425-2225 · Fax 318-425-2221
Mailing address
3431 N Market StShreveport, LA 71107-3812
Phone 318-425-2225 · Fax 318-425-2221
Authorized official
Brooke A Tarvin
President
3184252225
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