Provider Demographics
NPI:1891458048
Name:A&M CHIROPRACTIC SERVICES LLC
Entity Type:Organization
Organization Name:A&M CHIROPRACTIC SERVICES LLC
Other - Org Name:FONTENOT CHIROPRACTIC SPINE & INJURY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:MICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:337-984-0206
Mailing Address - Street 1:102 GREG ST
Mailing Address - Street 2:
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520-6248
Mailing Address - Country:US
Mailing Address - Phone:337-984-0206
Mailing Address - Fax:
Practice Address - Street 1:102 GREG ST
Practice Address - Street 2:
Practice Address - City:CARENCRO
Practice Address - State:LA
Practice Address - Zip Code:70520-6248
Practice Address - Country:US
Practice Address - Phone:337-984-0206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-14
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty