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Contact Information

SAMUEL E LISCUM, D.C.
24012 MAPLEWOOD DR
SUITE 2
SULPHUR, LA70663
 Phone: 337-439-7007
 Fax: 337-439-7011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for SAMUEL E LISCUM · (Male)

NPI Number 1396760096
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 07/13/2006
Last updated 05/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 1563
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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