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JAGNEAUX CHIROPRACTIC CLINIC INC NPI 1861688137


NPI Information

NPI: 1861688137
Provider Name: JAGNEAUX CHIROPRACTIC CLINIC INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
910 8TH AVENUE
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 439-2186
Get Directions

JAGNEAUX CHIROPRACTIC CLINIC INC is a chiropractor in Lake Charles, LA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. JAGNEAUX CHIROPRACTIC CLINIC INC NPI is 1861688137. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

910 8TH AVENUE
LAKE CHARLES, LA
ZIP 70601-526
Phone: (337) 439-2186
Fax: (337) 439-1526

The provider's authorized official is Willie Jagneaux .
The authorized official title is Owner President and has the following contact phone number (337) 439-2186.

The enumeration date for this NPI number is 9/20/2007 and was last updated on 9/20/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor78LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120200OTHERLOUISIANABLUE CROSS BLUE SHIELD LA
21936502MEDICAIDLOUISIANA
359290MEDICARE PINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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