Provider Demographics
NPI:1134216435
Name:SAVOY, DAMON THOMAS (DC)
Entity type:Individual
Prefix:
First Name:DAMON
Middle Name:THOMAS
Last Name:SAVOY
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 1:1904 WEST PINHOOK ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508
Mailing Address - Country:US
Mailing Address - Phone:337-235-3720
Mailing Address - Fax:337-235-0049
Practice Address - Street 1:1904 WEST PINHOOK ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508
Practice Address - Country:US
Practice Address - Phone:337-235-3720
Practice Address - Fax:337-235-0049
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA642111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T69636Medicare UPIN
LA59264Medicare PIN