Provider Demographics
NPI:1104813948
Name:ARCENEAUX, JAMES BRYSON (DC ; PT)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BRYSON
Last Name:ARCENEAUX
Suffix:
Gender:M
Credentials:DC ; PT
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:
Other - Last Name:ARCENEAUX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC ; PT
Mailing Address - Street 1:102 SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5037
Mailing Address - Country:US
Mailing Address - Phone:318-357-0270
Mailing Address - Fax:318-357-0123
Practice Address - Street 1:102 SOUTH DR
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5037
Practice Address - Country:US
Practice Address - Phone:318-357-0270
Practice Address - Fax:318-357-0123
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-05
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA889111N00000X
LA00324225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5DQ79Medicare PIN
LA56564Medicare PIN