NPI 1154410462

James Allen Wiseman, DC

Practitioner Chiropractor Bossier City, LA

Practice location

Address: 3018 Old Minden Rd Suite 1203, Bossier City, LA 71112-2446
Phone: (318) 747-5855
Fax: (318) 746-0417

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 422 (LA)

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Registry record

NPI: 1154410462
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.