Provider Demographics
NPI:1790974731
Name:PRATHER CHIROPRACTIC SERVICES, LLC
Entity Type:Organization
Organization Name:PRATHER CHIROPRACTIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRATOR/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, BS, DIANM
Authorized Official - Phone:337-984-3113
Mailing Address - Street 1:1803 W PINHOOK RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3719
Mailing Address - Country:US
Mailing Address - Phone:337-984-3113
Mailing Address - Fax:337-984-3116
Practice Address - Street 1:1803 W PINHOOK RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3719
Practice Address - Country:US
Practice Address - Phone:337-984-3113
Practice Address - Fax:337-984-3116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1228111N00000X
111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAU85550Medicare UPIN