Provider Demographics
NPI:1558615070
Name:JKS CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:JKS CHIROPRACTIC, INC.
Other - Org Name:DELHI CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:J.
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:SNIPES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:318-878-3778
Mailing Address - Street 1:838 BROADWAY ST STE A
Mailing Address - Street 2:
Mailing Address - City:DELHI
Mailing Address - State:LA
Mailing Address - Zip Code:71232-3106
Mailing Address - Country:US
Mailing Address - Phone:318-878-2583
Mailing Address - Fax:318-878-2584
Practice Address - Street 1:838 BROADWAY ST STE A
Practice Address - Street 2:
Practice Address - City:DELHI
Practice Address - State:LA
Practice Address - Zip Code:71232-3106
Practice Address - Country:US
Practice Address - Phone:318-878-2583
Practice Address - Fax:318-878-2584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-06
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1366111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty