Provider Demographics
NPI:1528029956
Name:HAMILTON-TOUPS, CARISSA PAULINE ANNETTE (DC)
Entity Type:Individual
Prefix:DR
First Name:CARISSA
Middle Name:PAULINE ANNETTE
Last Name:HAMILTON-TOUPS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CARISSA
Other - Middle Name:PAULINE ANNETTE
Other - Last Name:HAMILTON-TOUPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 472
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70527-0472
Mailing Address - Country:US
Mailing Address - Phone:337-783-3334
Mailing Address - Fax:337-783-3326
Practice Address - Street 1:207 E 5TH ST
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-4427
Practice Address - Country:US
Practice Address - Phone:337-837-3334
Practice Address - Fax:337-837-3326
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1569798Medicaid
LAF6383OtherBCBS
LA1569798Medicaid
LA4B480Medicare ID - Type Unspecified