Provider Demographics
NPI:1770750770
Name:MCGRAW, ROBERT JOSEPH (DC CHIROPRACTOR)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:MCGRAW
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Gender:M
Credentials:DC CHIROPRACTOR
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Mailing Address - Street 1:12397 LAKE CHARLES HWY
Mailing Address - Street 2:MCGRAW CHIROPRACTIC & REHAB
Mailing Address - City:LEESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71446
Mailing Address - Country:US
Mailing Address - Phone:337-401-3099
Mailing Address - Fax:337-401-3133
Practice Address - Street 1:12397 LAKE CHARLES HWY
Practice Address - Street 2:MCGRAW CHIROPRACTIC & REHAB
Practice Address - City:LEESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446
Practice Address - Country:US
Practice Address - Phone:337-401-3099
Practice Address - Fax:337-401-3133
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA1460111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor