Provider Demographics
NPI:1689838872
Name:PLS LLC
Entity Type:Organization
Organization Name:PLS LLC
Other - Org Name:SCOTT OAKS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:STANTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:337-232-6000
Mailing Address - Street 1:5545 CAMERON ST
Mailing Address - Street 2:SUITE1
Mailing Address - City:SCOTT
Mailing Address - State:LA
Mailing Address - Zip Code:70583-5201
Mailing Address - Country:US
Mailing Address - Phone:337-232-6000
Mailing Address - Fax:
Practice Address - Street 1:5545 CAMERON ST
Practice Address - Street 2:SUITE1
Practice Address - City:SCOTT
Practice Address - State:LA
Practice Address - Zip Code:70583-5201
Practice Address - Country:US
Practice Address - Phone:337-232-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1368261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA6394020001Medicare NSC