Provider Demographics
NPI:1669899753
Name:PAUL S. TASSIN, A PROFESSIONAL CHIROPRACTIC CORPORTATION
Entity type:Organization
Organization Name:PAUL S. TASSIN, A PROFESSIONAL CHIROPRACTIC CORPORTATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:TASSIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:504-443-6000
Mailing Address - Street 1:2001 42ND ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2196
Mailing Address - Country:US
Mailing Address - Phone:504-443-6000
Mailing Address - Fax:504-443-6035
Practice Address - Street 1:2001 42ND ST
Practice Address - Street 2:SUITE A
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2196
Practice Address - Country:US
Practice Address - Phone:504-443-6000
Practice Address - Fax:504-443-6035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center