| Integrity Chiropractic, Llc. | |
|
816 Pierremont Rd Shreveport LA 71106-2034 | |
| (318) 458-8976 | |
| Not Available |
| Full Name | Integrity Chiropractic, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 816 Pierremont Rd, Shreveport, Louisiana |
| Authorized Official Name and Position | Jenna Garcia Watson (CEO/DOCTOR) |
| Authorized Official Contact | 3184588976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Chiropractic, Llc. 816 Pierremont Rd Shreveport LA 71106-2034 Ph: () - | Integrity Chiropractic, Llc. 816 Pierremont Rd Shreveport LA 71106-2034 Ph: (318) 458-8976 |
| NPI Number | 1275806465 |
|---|---|
| Provider Enumeration Date | 02/17/2012 |
| Last Update Date | 02/17/2012 |
| Medicare PECOS PAC ID | 7315108685 |
|---|---|
| Medicare Enrollment ID | O20120412000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275806465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1646 (Louisiana) | Primary |
| Provider Name | Jenna Garcia Watson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780957332 PECOS PAC ID: 5991964363 Enrollment ID: I20120412000622 |
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