Provider Demographics
NPI:1386716660
Name:DUHON, DAVID MICHAEL (DC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MICHAEL
Last Name:DUHON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:MICHAEL
Other - Last Name:DUHON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2118 E PRIEN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-7876
Mailing Address - Country:US
Mailing Address - Phone:337-474-7700
Mailing Address - Fax:337-474-7705
Practice Address - Street 1:2118 EAST PRIEN LAKE ROAD
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601
Practice Address - Country:US
Practice Address - Phone:337-474-7700
Practice Address - Fax:337-474-7705
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1043111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1659371Medicaid
LA5T709CY23Medicare PIN
U55672Medicare UPIN
LA1659371Medicaid