Provider Demographics
NPI:1407057458
Name:UTILIZATION MANAGEMENT CORPORATION
Entity Type:Organization
Organization Name:UTILIZATION MANAGEMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ROLAND
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:225-296-0091
Mailing Address - Street 1:PO BOX 86758
Mailing Address - Street 2:4701 BLUEBONNET BLVD., SUITE B
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70879-6758
Mailing Address - Country:US
Mailing Address - Phone:225-296-0091
Mailing Address - Fax:225-291-9706
Practice Address - Street 1:4701 BLUEBONNET BLVD., SUITE B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809
Practice Address - Country:US
Practice Address - Phone:225-296-0091
Practice Address - Fax:225-291-9706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA218111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty