Provider Demographics
NPI:1659136224
Name:WLBC, LLC
Entity Type:Organization
Organization Name:WLBC, LLC
Other - Org Name:SPINAL HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:318-322-2250
Mailing Address - Street 1:3103 CYPRESS ST STE 4
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-5270
Mailing Address - Country:US
Mailing Address - Phone:318-322-2250
Mailing Address - Fax:318-322-1114
Practice Address - Street 1:3103 CYPRESS ST STE 4
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5270
Practice Address - Country:US
Practice Address - Phone:318-322-2250
Practice Address - Fax:318-322-1114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty