DUTRUCH CHIROPRACTIC (NPI# 1295246130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295246130 |
| Entity Type | Organization |
| Organization Name | DUTRUCH CHIROPRACTIC |
| Practice Address |
1120 N Causeway Blvd Ste 2 Mandeville LA 70471-3429 |
| Practice Telephone | 9856745855 |
| Practice Fax Number | 9856745854 |
| Mailing Telephone | 9856745855 |
| Mailing Fax Number | 9856745854 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-11-02 |
| Authorized Official Name | DR. AARON C DUTRUCH (OWNER) |
| Authorized Official Telephone | 9856745855 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1785 | LA | Chiropractic Providers |
| Street Address |
1120 N CAUSEWAY BLVD STE 2 |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547324 | Kaylea Jalane Creel | Massage Therapist | 1120 N Causeway Blvd Ste 2, Mandeville, LA 70471-3429 | 2018-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398234 | Joshua Joseph Leblanc | Pharmacist | 541 Asbury Dr., Mandeville, LA 70471 | 2019-10-24 |
| 1700356789 | John R. Macgregor Jr. M.d. (apmc) | Non-Pharmacy Dispensing Site | 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 | 2018-12-03 |
| 1619462082 | Southern Family Chiropractic, LLC | Chiropractor | 2077 North Causeway Blvd, Mandeville, LA 70471 | 2018-06-27 |
| 1518459833 | Marissa Rose Ledet Corneille | Audiologist | 1420 N Causeway Blvd., Mandeville, LA 70471 | 2018-06-01 |
| 1891285193 | Tyler Gravley | Chiropractor | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | 2018-05-14 |
| 1831640259 | Trey Stokes | Nurse Anesthetist, Certified Registered | 104 West Brighton Court, Mandeville, LA 70471 | 2016-10-20 |
| 1619420759 | Erin Salerno | Counselor | 6408 Village Ln, Mandeville, LA 70471 | 2016-07-25 |
| 1699121822 | Austin Fontenot | Chiropractor | 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 | 2016-05-06 |
| 1578935136 | Vanessa Hadden | Social Worker | 600 Mariners Plaza, Mandeville, LA 70471 | 2015-10-22 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers in zip 70471 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036327 | Samuel Catalanatto LLC | Chiropractor | 1660 Highway 59 Ste 500, Mandeville, LA 70448-1956 | 2020-02-25 |
| 1619462082 | Southern Family Chiropractic, LLC | Chiropractor | 2077 North Causeway Blvd, Mandeville, LA 70471 | 2018-06-27 |
| 1891285193 | Tyler Gravley | Chiropractor | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | 2018-05-14 |
| 1699121822 | Austin Fontenot | Chiropractor | 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 | 2016-05-06 |
| 1134501729 | Melisa Keo | Chiropractor | 3441 E Causeway Approach Ste D, Mandeville, LA 70448-3480 | 2015-06-19 |
| 1346636149 | Timothy Earl Cunningham | Chiropractor | 69282 Highway 59 Ste 4, Mandeville, LA 70471-7676 | 2015-04-09 |
| 1811260805 | Stephen Ashley Falls | Chiropractor | 1660 Highway 59, Ste 500, Mandeville, LA 70448-1956 | 2012-02-22 |
| 1629360201 | Melissa M Hoffmann | Chiropractor | 3933 Highway 59 Ste A, Mandeville, LA 70471-1958 | 2011-05-13 |
| 1083910327 | Melissa Ann Raigan | Chiropractor | 221 Saint Ann Dr Ste 2, Mandeville, LA 70471-3219 | 2011-02-03 |
| 1053630467 | Brandon Matthew Broadus | Chiropractor | 102 Fontainbleau Dr # D1, Mandeville, LA 70471-6518 | 2010-05-25 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70471 |
Please comment or provide details below to improve the information on DUTRUCH CHIROPRACTIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.