Back To Health Chiropractic Center
Clinic/Center in Lake Charles, LA. Organization (NPI-2).
NPI number1972778660
StatusActive
Last updated in NPPESApr 24, 2008
Details
- NPI
- 1972778660
- Entity type
- Organization (NPI-2)
- Legal business name
- Back To Health Chiropractic Center
- Organization subpart
- No
- Enumeration date
- Apr 24, 2008
- Last updated
- Apr 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 399 | LA | Yes |
Practice location
1808 Oak Park BlvdLake Charles, LA 70601-8914
Phone 337-478-5611 · Fax 337-478-5613
Mailing address
1808 Oak Park BlvdLake Charles, LA 70601-8914
Phone 337-478-5611 · Fax 337-478-5613
Authorized official
Peter R Brosnan
Director
3374785611
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