| |
801 Johnson St, Tallulah, LA 71282-4534 | |
(318) 935-0899 | |
(318) 493-5096 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 801 Johnson St, Tallulah, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023855947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Andrew Darrin Easterly |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1407267289 PECOS PAC ID: 7214159417 Enrollment ID: I20141103001669 |
Mailing Address | Practice Location Address |
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801 Johnson St, Tallulah, LA 71282-4534 Ph: (318) 805-2998 | 801 Johnson St, Tallulah, LA 71282-4534 Ph: (318) 935-0899 |
Dr. Dallas Humble, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 801 Johnson St, Tallulah, LA 71282 Phone: 318-303-6142 Fax: 318-855-8453 | |
Andrew Easterly, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 801 Johnson St, Tallulah, LA 71282 Phone: 318-935-0899 Fax: 318-493-5096 |