Provider Demographics
NPI:1750649059
Name:PRITCHETT, JOSEPH LUCIAN IV (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:LUCIAN
Last Name:PRITCHETT
Suffix:IV
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 1:1107 GOVERNMENT ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802-4838
Mailing Address - Country:US
Mailing Address - Phone:225-343-0905
Mailing Address - Fax:225-343-9955
Practice Address - Street 1:1107 GOVERNMENT ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-4838
Practice Address - Country:US
Practice Address - Phone:225-343-0905
Practice Address - Fax:225-343-9955
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor