Provider Demographics
NPI:1275867913
Name:D & G SPECIALTIES, INC.
Entity Type:Organization
Organization Name:D & G SPECIALTIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:OSCAR
Authorized Official - Last Name:CULLI
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:337-238-5678
Mailing Address - Street 1:1215 W HAWTHORNE RD
Mailing Address - Street 2:
Mailing Address - City:LEESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71446-6052
Mailing Address - Country:US
Mailing Address - Phone:337-238-5678
Mailing Address - Fax:337-392-9759
Practice Address - Street 1:1215 W HAWTHORNE RD
Practice Address - Street 2:
Practice Address - City:LEESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446-6052
Practice Address - Country:US
Practice Address - Phone:337-238-5678
Practice Address - Fax:337-392-9759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA345111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty