Provider Demographics
NPI:1821136748
Name:DRESSLER, PAUL CHARLES (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:CHARLES
Last Name:DRESSLER
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 1:1721 W PINHOOK RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3723
Mailing Address - Country:US
Mailing Address - Phone:337-266-9949
Mailing Address - Fax:337-266-9951
Practice Address - Street 1:1721 W PINHOOK RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3723
Practice Address - Country:US
Practice Address - Phone:337-266-9949
Practice Address - Fax:337-266-9951
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1347111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAV03876Medicare UPIN