Jacobs Chiropractic Clinic, Apcc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JACOBS CHIROPRACTIC CLINIC, APCC

Practice address

225 Memphis St
Bogalusa, LA 70427-3843

Phone

(985) 732-3677

Fax

(985) 732-3672

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Robelia 'Bea' S. Jacobs, CRT

Title

Sec/Treas

Phone

(985) 732-3677

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jacobs Chiropractic Clinic Other name

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962437525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEMPHIS ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273843",
            "telephone_number": "985-732-3677",
            "fax_number": "985-732-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEMPHIS ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273843",
            "telephone_number": "985-732-3677",
            "fax_number": "985-732-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBS CHIROPRACTIC CLINIC, APCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "ROBELIA  'BEA'",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SEC/TREAS",
        "authorized_official_telephone_number": "985-732-3677",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1443131",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA BC/BS",
            "identifier": "F6198",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacobs Chiropractic Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hubert B. Williams, D.C.
• Darryl G. Hughes, C.R.N.A.
• Jill Suzanne Hughes, COTA, LPN
• Hamid Hussain, M.D.
• In Care N Hands LLC
• Judy Gail Jacobs
• Vijaya Jayagopal, M.D.
• Leah Catherine Jenkins, LCSW
• Marissa Kayla Jenkins, DO
• Rachel Johnson, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.