| Southside Chiropractic Clinic Llc | |
|
672 Bert Kouns Industrial Loop, Shreveport, LA 71118-5701 | |
| (318) 686-3152 | |
| Not Available |
| Full Name | Southside Chiropractic Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 672 Bert Kouns Industrial Loop, 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 |
|---|---|---|---|
| 1780017400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1675 (Louisiana) | Primary |
| Provider Name | Gregory Ovey Brigola |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750685954 PECOS PAC ID: 3678752219 Enrollment ID: I20131219000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Chiropractic Clinic Llc 672 Bert Kouns Industrial Loop, Shreveport, LA 71118-5701 Ph: () - | Southside Chiropractic Clinic Llc 672 Bert Kouns Industrial Loop, Shreveport, LA 71118-5701 Ph: (318) 686-3152 |
Dr. Carl Rodney Crews Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 915 Olive St, Shreveport, LA 71104 Phone: 318-220-7688 Fax: 318-220-7690 | |
Dr. Robert L Zahn, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1005 Southland Park Drive, Shreveport, LA 71118 Phone: 318-688-1221 Fax: 318-686-4714 | |
All The Way Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8575 Fern Ave Ste 101, Shreveport, LA 71105 Phone: 318-797-2587 Fax: 318-797-2588 | |
Dr. Silas T Jennings, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1520 N Hearne Ave, Shreveport, LA 71107 Phone: 318-222-6297 | |
Dr. Kerry Dee Tarvin, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3431 N Market St, Shreveport, LA 71107 Phone: 318-425-2225 Fax: 318-425-2221 | |
Spinal Innovations Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7330 Fern Ave, Suite 303, Shreveport, LA 71105 Phone: 318-798-5557 Fax: 318-798-5558 | |
Dr. Diamond Brown, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1950 E 70th St Ste Cd, Shreveport, LA 71105 Phone: 318-470-7516 Fax: 318-209-3841 |