Pelican State Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

540 Issued in LA

Legal business name

PELICAN STATE CHIROPRACTIC LLC

Practice address

805 Prairie St
Winnsboro, LA 71295-2631

Phone

(318) 237-6396

NPI assigned

Mar 1, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jasmine Vializ

Title

Billing Manager

Phone

(703) 738-9955

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1538609193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2537",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712072537",
            "telephone_number": "318-237-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PRAIRIE ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952631",
            "telephone_number": "318-237-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN STATE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "VIALIZ",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "703-738-9955"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solabomi Oyeronke Ojeniyi, M.D
• Gerald Onate
• Open Arms Shelter, Inc
• Becky Parker
• Robert Joseph Pasero, P.T.
• Drew Key Perry, P-LPC, MHP
• Jessica Williams Perry, FNP-C
• Shelia Katheleen Perry, FNP-BC
• Matthew Robert Petit, PHARMD
• Courtney Kemper Pickett, CCC-SLP

• Chiropractor in Winnsboro, LA
• Providers in Winnsboro, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.