Provider Demographics
NPI:1790978443
Name:SPIERS CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:SPIERS CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:DENTON
Authorized Official - Last Name:SPIERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:601-261-9495
Mailing Address - Street 1:5295 OLD HIGHWAY 11
Mailing Address - Street 2:STE 3
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-6022
Mailing Address - Country:US
Mailing Address - Phone:601-261-9495
Mailing Address - Fax:601-261-6997
Practice Address - Street 1:5295 OLD HIGHWAY 11
Practice Address - Street 2:STE 3
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-6022
Practice Address - Country:US
Practice Address - Phone:601-261-9495
Practice Address - Fax:601-261-6997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0956111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSU48696Medicare UPIN