Provider Demographics
NPI:1235543885
Name:DOCTOR'S REHAB SERVICES
Entity Type:Organization
Organization Name:DOCTOR'S REHAB SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DIGEROLAMO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:504-835-8441
Mailing Address - Street 1:221 VETERANS BLVD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3005
Mailing Address - Country:US
Mailing Address - Phone:504-835-8441
Mailing Address - Fax:504-835-8443
Practice Address - Street 1:221 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-3005
Practice Address - Country:US
Practice Address - Phone:504-835-8441
Practice Address - Fax:504-835-8443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1146111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty