Individual provider · Type 1 NPI
Jonny David Roberts Jr., DC
Chiropractor · Slidell, LA
NPI number
1891048344
Active
Practice location
2163 Gause Blvd W, Ste 4
Slidell, LA 70460-4132
Fax (504) 335-0740
Mailing address
60154 Nina Dr
Lacombe, LA 70445-3938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 1661 (LA) |
| Chiropractor Primary | 111N00000X | 1661 (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 1891048344
Jonny David Roberts Jr., DC's National Provider Identifier is 1891048344, issued on Oct 22, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Slidell, LA. The record was last updated on Aug 12, 2024.