Provider Demographics
NPI:1811260805
Name:FALLS, STEPHEN ASHLEY (DC)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:ASHLEY
Last Name:FALLS
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 1:270 NICKLAUS DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-8845
Mailing Address - Country:US
Mailing Address - Phone:504-577-4315
Mailing Address - Fax:
Practice Address - Street 1:1660 HIGHWAY 59
Practice Address - Street 2:STE 500
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-1956
Practice Address - Country:US
Practice Address - Phone:985-641-2222
Practice Address - Fax:985-649-3864
Is Sole Proprietor?:No
Enumeration Date:2012-02-22
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1649111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor