Provider Demographics
NPI:1487986931
Name:BOCHM-CABANAS, ALEJANDRO ANTONIO (DC)
Entity type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:ANTONIO
Last Name:BOCHM-CABANAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1304 BERTRAND DR
Mailing Address - Street 2:STE B3
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-9102
Mailing Address - Country:US
Mailing Address - Phone:337-984-5852
Mailing Address - Fax:337-984-5851
Practice Address - Street 1:1304 BERTRAND DR
Practice Address - Street 2:SUITE B3
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-9107
Practice Address - Country:US
Practice Address - Phone:337-706-7878
Practice Address - Fax:337-706-7898
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA1544111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor