| Terrence D Leist Ltd | |
|
1866 Main St, Baker, LA 70714-2842 | |
| (225) 774-4916 | |
| (225) 774-0460 |
| Full Name | Terrence D Leist Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1866 Main St, Baker, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295912418 | NPI | - | NPPES |
| 692938 | Other | LA | AETNA |
| 2285A | Other | LA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 533 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Terrence D Leist Ltd 1866 Main St, Baker, LA 70714-2842 Ph: (225) 774-4916 | Terrence D Leist Ltd 1866 Main St, Baker, LA 70714-2842 Ph: (225) 774-4916 |
Prewitt Chiropractic Clinic A Professional Chiropractic Corporation Chiropractor Medicare: Medicare Enrolled Practice Location: 3121 Van Buren St, Suite B, Baker, LA 70714 Phone: 225-774-5566 Fax: 225-774-8855 | |
Dr. Rickey Lynn Prewitt, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3121 Van Buren St, Suite B, Baker, LA 70714 Phone: 225-774-5566 Fax: 225-774-8855 |