| Essential Chiropractic | |
|
1120 N Causeway Blvd Ste 2, Mandeville, LA 70471-3429 | |
| (985) 778-2695 | |
| Not Available |
| Full Name | Essential Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Nutrition |
| Location | 1120 N Causeway Blvd Ste 2, Mandeville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497369250 | NPI | - | NPPES |
| 1699121822 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NN1001X | Chiropractor - Nutrition | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Austin Gannon Fontenot |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699121822 PECOS PAC ID: 7315351962 Enrollment ID: I20210122001451 |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Chiropractic 1120 N Causeway Blvd Ste 2, Mandeville, LA 70471-3429 Ph: (985) 778-2695 | Essential Chiropractic 1120 N Causeway Blvd Ste 2, Mandeville, LA 70471-3429 Ph: (985) 778-2695 |
James Joseph Derbes, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 235 West Florida St, Mandeville, LA 70448 Phone: 985-626-7795 | |
Bart C Sellers, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 221 Saint Ann Dr, Ste 2, Mandeville, LA 70471 Phone: 985-624-9888 Fax: 985-624-2572 | |
Taylor Elizabeth Ruppert, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 102 Fontainbleau Dr # D1, Mandeville, LA 70471 Phone: 985-789-1720 | |
Shelley Radosta, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1357 N Causeway Blvd, Ste 2, Mandeville, LA 70471 Phone: 985-778-0880 Fax: 985-778-0882 | |
Dr. Brandon Matthew Broadus, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 102 Fontainbleau Dr # D1, Mandeville, LA 70471 Phone: 985-400-5300 Fax: 985-400-5301 | |
Dr. Justin Schexnaildre, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 102 Fontainbleau Dr Ste D1, Mandeville, LA 70471 Phone: 985-400-5300 Fax: 985-400-5301 | |
Dr. Lawrence Westley Gamble, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3573 Us-190, Suite F, Mandeville, LA 70471 Phone: 985-260-8863 |