Provider Demographics
NPI:1376575191
Name:JAMES ARCENEAUX-ARCENEAUX CHIROPRACTIC & PT CENTER
Entity Type:Organization
Organization Name:JAMES ARCENEAUX-ARCENEAUX CHIROPRACTIC & PT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:ARCENEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:DO, PT
Authorized Official - Phone:337-258-3549
Mailing Address - Street 1:102 SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5037
Mailing Address - Country:US
Mailing Address - Phone:318-357-0270
Mailing Address - Fax:318-357-0270
Practice Address - Street 1:102 SOUTH DR
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5037
Practice Address - Country:US
Practice Address - Phone:318-357-0270
Practice Address - Fax:318-357-0270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA889111N00000X
LA0324225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5CW08Medicare PIN