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EASTGATE CHIROPRACTIC CLINIC INC NPI 1992912380


NPI Information

NPI: 1992912380
Provider Name: EASTGATE CHIROPRACTIC CLINIC, INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1520 N HEARNE AVE
SUITE 103
SHREVEPORT, LA
ZIP 71107
Phone: (318) 222-6298
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EASTGATE CHIROPRACTIC CLINIC, INC is a chiropractor in Shreveport, 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. EASTGATE CHIROPRACTIC CLINIC, INC NPI is 1992912380. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1520 N HEARNE AVE
SUITE 103
SHREVEPORT, LA
ZIP 71107-155
Phone: (318) 222-6298
Fax: (318) 222-6299

The provider's authorized official is Dwight V Hart .
The authorized official title is President and has the following contact phone number (318) 222-6297.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.


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
1111N00000XChiropractor973LOUISIANAYes

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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