Provider Demographics
NPI:1144985631
Name:LEDOUX CHIRO, LLC
Entity type:Organization
Organization Name:LEDOUX CHIRO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEBASTIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEDOUX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-777-4920
Mailing Address - Street 1:8931 S YALE AVE STE L
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-3531
Mailing Address - Country:US
Mailing Address - Phone:918-777-4920
Mailing Address - Fax:
Practice Address - Street 1:8931 S YALE AVE STE L
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-3531
Practice Address - Country:US
Practice Address - Phone:918-777-4920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty