Provider Demographics
NPI:1497737415
Name:PRATHER, ERIC JAMES (DC, BS, DIANM)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JAMES
Last Name:PRATHER
Suffix:
Gender:M
Credentials:DC, BS, DIANM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 W PINHOOK RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3719
Mailing Address - Country:US
Mailing Address - Phone:337-984-3113
Mailing Address - Fax:337-984-3116
Practice Address - Street 1:1803 W PINHOOK RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3719
Practice Address - Country:US
Practice Address - Phone:337-984-3113
Practice Address - Fax:337-984-3116
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1228111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1625485Medicaid
LA5CJ80Medicare ID - Type Unspecified
LA1625485Medicaid