National Provider Identifier Database

EAST TEXAS CHIROPRACTIC OF JASPER PA
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.


Contact Information

EAST TEXAS CHIROPRACTIC OF JASPER, PA
799 W. GIBSON
STE 700
JASPER, TX75948
Phone: 409-384-7776
Fax: 409-384-7779
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for EAST TEXAS CHIROPRACTIC OF JASPER, PA

NPI Number 1699893230
Legal business name
LBN
EAST TEXAS CHIROPRACTIC OF JASPER, PA
Authorized official BRIC LANGFORD - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/26/2007
Last updated 08/28/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 11267
  • TX License #: 11268
  • TX License #: DC6063
  • TX Medicaid: 0884470-01
  • TX Other: DC6063 STATE LICENSE NUMBER

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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