Provider Demographics
NPI:1386818201
Name:HEALTH 2000
Entity Type:Organization
Organization Name:HEALTH 2000
Other - Org Name:LAFOURCHE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-632-2225
Mailing Address - Street 1:320 HIGHWAY 3162
Mailing Address - Street 2:
Mailing Address - City:CUT OFF
Mailing Address - State:LA
Mailing Address - Zip Code:70345-3582
Mailing Address - Country:US
Mailing Address - Phone:985-632-2225
Mailing Address - Fax:985-632-2167
Practice Address - Street 1:320 HIGHWAY 3162
Practice Address - Street 2:
Practice Address - City:CUT OFF
Practice Address - State:LA
Practice Address - Zip Code:70345-3582
Practice Address - Country:US
Practice Address - Phone:985-632-2225
Practice Address - Fax:985-632-2167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1052111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty