Provider Demographics
NPI:1316107741
Name:ROBERT X. ADDINGTON, D.C., LLC
Entity type:Organization
Organization Name:ROBERT X. ADDINGTON, D.C., LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:XAVER
Authorized Official - Last Name:ADDINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:985-747-2225
Mailing Address - Street 1:802 W OAK ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:AMITE
Mailing Address - State:LA
Mailing Address - Zip Code:70422-2795
Mailing Address - Country:US
Mailing Address - Phone:985-747-2225
Mailing Address - Fax:
Practice Address - Street 1:802 W OAK ST
Practice Address - Street 2:SUITE D
Practice Address - City:AMITE
Practice Address - State:LA
Practice Address - Zip Code:70422-2795
Practice Address - Country:US
Practice Address - Phone:985-747-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1313111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAP00096405OtherRAILROAD MEDICARE
LAG6677OtherBLUE CROSS BLUE SHIELD
LAU98444Medicare UPIN
LAP00096405OtherRAILROAD MEDICARE