Simply Balanced Chiropractic Llc | |
635 Bert Kouns Industrial Loop Ste 400, Shreveport, LA 71118-5704 | |
(318) 828-1564 | |
Not Available |
Full Name | Simply Balanced Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 635 Bert Kouns Industrial Loop Ste 400, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982487583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Hollie N O'neal |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1750893764 PECOS PAC ID: 1850623299 Enrollment ID: I20230918002325 |
Mailing Address | Practice Location Address |
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Simply Balanced Chiropractic Llc 2535 Bert Kouns Industrial Loop, Suite 203 Box #139, Shreveport, LA 71118 Ph: (318) 828-1564 | Simply Balanced Chiropractic Llc 635 Bert Kouns Industrial Loop Ste 400, Shreveport, LA 71118-5704 Ph: (318) 828-1564 |
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