Provider Demographics
NPI:1033553680
Name:WARD CHIROPRACTIC
Entity Type:Organization
Organization Name:WARD CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATTE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BRAY WARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:337-990-5497
Mailing Address - Street 1:4211 LAKE STREET
Mailing Address - Street 2:SUITE 20
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605
Mailing Address - Country:US
Mailing Address - Phone:337-990-5497
Mailing Address - Fax:337-990-5570
Practice Address - Street 1:4211 LAKE STREET
Practice Address - Street 2:SUITE 20
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605
Practice Address - Country:US
Practice Address - Phone:337-990-5497
Practice Address - Fax:337-990-5570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-25
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty