Provider Demographics
NPI:1689702953
Name:CHAUVIN, EDWARD R (DC)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:R
Last Name:CHAUVIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 WILDCAT DRIVE
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510
Mailing Address - Country:US
Mailing Address - Phone:337-893-5252
Mailing Address - Fax:337-893-1236
Practice Address - Street 1:1000 WILDCAT DRIVE
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510
Practice Address - Country:US
Practice Address - Phone:337-893-5252
Practice Address - Fax:337-893-1236
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA426111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
721142839Medicare UPIN
LA59131B763Medicare ID - Type Unspecified