| Capitol Spine And Rehabilitation | |
|
429 E Airport Ave, Suite 1, Baton Rouge, LA 70806-4844 | |
| (226) 926-1900 | |
| (225) 926-1901 |
| Full Name | Capitol Spine And Rehabilitation |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 429 E Airport Ave, Baton Rouge, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366692535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1307 (Louisiana) | Secondary |
| 111N00000X | Chiropractor | 1441 (Louisiana) | Primary |
| Provider Name | Latresia G Broussard-bell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679648109 PECOS PAC ID: 9436165701 Enrollment ID: I20060224000147 |
| Provider Name | Gerald O Bell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255489423 PECOS PAC ID: 8123159613 Enrollment ID: I20100628000392 |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Spine And Rehabilitation 429 E Airport Ave, Suite 1, Baton Rouge, LA 70806-4844 Ph: (226) 926-1900 | Capitol Spine And Rehabilitation 429 E Airport Ave, Suite 1, Baton Rouge, LA 70806-4844 Ph: (226) 926-1900 |
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