Provider Demographics
NPI:1912010935
Name:STRICKLAND, ROY R (DC)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:R
Last Name:STRICKLAND
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 1:2300 HORSESHOE DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-2610
Mailing Address - Country:US
Mailing Address - Phone:318-487-0689
Mailing Address - Fax:318-443-8211
Practice Address - Street 1:1901 GUS KAPLAN DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3355
Practice Address - Country:US
Practice Address - Phone:318-487-0689
Practice Address - Fax:318-443-8211
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1201111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4C074Medicare ID - Type Unspecified