Provider Demographics
NPI:1275604704
Name:MANNING, RICHARD ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALLEN
Last Name:MANNING
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 1:1651 LOBDELL AVE
Mailing Address - Street 2:BLDG B STE 103
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-8252
Mailing Address - Country:US
Mailing Address - Phone:225-926-0032
Mailing Address - Fax:225-926-0049
Practice Address - Street 1:1651 LOBDELL AVE
Practice Address - Street 2:BLDG B STE 103
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-8252
Practice Address - Country:US
Practice Address - Phone:225-926-0032
Practice Address - Fax:225-926-0049
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor