Andrew Easterly, DC | |
801 Johnson St, Tallulah, LA 71282-4534 | |
(318) 935-0899 | |
(318) 493-5096 |
Full Name | Andrew Easterly |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 801 Johnson St, Tallulah, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407267289 | NPI | - | NPPES |
2646753 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1709 (Louisiana) | Primary |
Provider Name | Jdh Management Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083173470 PECOS PAC ID: 3375929698 Enrollment ID: O20221010001898 |
Provider Name | Easterly Enterprises Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023855947 PECOS PAC ID: 4183161151 Enrollment ID: O20240808000672 |
Mailing Address | Practice Location Address |
---|---|
Andrew Easterly, DC 801 Johnson St, Tallulah, LA 71282-4534 Ph: (318) 935-0899 | Andrew Easterly, DC 801 Johnson St, Tallulah, LA 71282-4534 Ph: (318) 935-0899 |
Easterly Enterprises Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 801 Johnson St, Tallulah, LA 71282 Phone: 318-935-0899 Fax: 318-493-5096 | |
Dr. Dallas Humble, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 801 Johnson St, Tallulah, LA 71282 Phone: 318-303-6142 Fax: 318-855-8453 |