Provider Demographics
NPI:1194804450
Name:BAILEY, JOSHUA GARY (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:GARY
Last Name:BAILEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 LA RUE FRANCE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3112
Mailing Address - Country:US
Mailing Address - Phone:337-237-2273
Mailing Address - Fax:
Practice Address - Street 1:100 LARUE FRANCE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508
Practice Address - Country:US
Practice Address - Phone:337-237-2273
Practice Address - Fax:337-237-1765
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1354111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor