SWC West Baton Rouge, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SWC WEST BATON ROUGE, LLC

Doing business as

Medical Spine, Spine & Sports of WBR

Practice address

4463 Hwy 1 S Ste B
Port Allen, LA 70767-5990

Phone

(225) 246-7915

Fax

(225) 218-4923

NPI assigned

Feb 14, 2019

Last updated

Feb 14, 2019By 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

Shay W Corbin, DCNPI 1619046992

Title

Owner

Phone

(225) 924-3989

Specialties & licenses 1

Addresses

Other names 1

• Medical Spine, Spine & Sports of WBR Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shay Weston Corbin, DC

  • Sports Physician Chiropractor
  • Saint Francisville, LA
  • NPI 1619046992
  NPD Authorized official

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1962968958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4463 HWY 1 S STE B",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707675990",
            "telephone_number": "225-246-7915",
            "fax_number": "225-218-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4463 HWY 1 S STE B",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707675990",
            "telephone_number": "225-246-7915",
            "fax_number": "225-218-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWC WEST BATON ROUGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "SHAY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-924-3989",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Spine, Spine & Sports of WBR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Port Allen, LA
• Providers in Port Allen, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.