Individual provider · Type 1 NPI
Jack Errol Methvin Jr., DC
Chiropractor · Ponchatoula, LA
NPI number
1659074474
Active
Practice location
350 Methvin Dr
Ponchatoula, LA 70454-3629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1908 (LA) |
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.
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About NPI 1659074474
Jack Errol Methvin Jr., DC's National Provider Identifier is 1659074474, issued on Mar 22, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ponchatoula, LA. The record was last updated on Mar 22, 2023.