Jagneaux Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

78 Issued in LA

Legal business name

JAGNEAUX CHIROPRACTIC CLINIC INC

Practice address

910 8TH Avenue
Lake Charles, LA 70601-1526

Phone

(337) 439-2186

Fax

(337) 439-1526

NPI assigned

Sep 20, 2007

Last updated

Sep 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Willie Jagneaux, DC

Title

Owner President

Phone

(337) 439-2186

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1861688137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 8TH AVENUE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706011526",
            "telephone_number": "337-439-2186",
            "fax_number": "337-439-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 8TH AVENUE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706011526",
            "telephone_number": "337-439-2186",
            "fax_number": "337-439-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGNEAUX CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "JAGNEAUX",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "337-439-2186",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "78",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1936502",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD LA",
            "identifier": "20200",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Colleen Flavin Jacobs, MPAS, PA-C
• Lauren Brooke Jacoby, D.O.
• Muhammad Atif Shamshad Jadoon, MD
• Zafar Jadwet, MD, MBA
• Jaeger Emergency Physicians, LLC
• James G. Maze, MD, Apmc
• Amanda James
• Brianna James
• Kyle Lee James, MD
• Tanesia Manique James

• Chiropractor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.