Provider Demographics
NPI:1134434749
Name:FRANCO, JEFFREY PHILIP
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:PHILIP
Last Name:FRANCO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 RUE SIMONE
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-5728
Mailing Address - Country:US
Mailing Address - Phone:985-345-9504
Mailing Address - Fax:985-345-9546
Practice Address - Street 1:2108 RUE SIMONE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-5728
Practice Address - Country:US
Practice Address - Phone:985-345-9504
Practice Address - Fax:985-345-9546
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1569111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor