Provider Demographics
NPI:1154292621
Name:GALJOUR ENTERPRISES LLC
Entity type:Organization
Organization Name:GALJOUR ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GALJOUR
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:985-291-3207
Mailing Address - Street 1:187 GREENBRIER BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7299
Mailing Address - Country:US
Mailing Address - Phone:985-871-1189
Mailing Address - Fax:985-871-1184
Practice Address - Street 1:187 GREENBRIER BLVD STE B
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7299
Practice Address - Country:US
Practice Address - Phone:985-871-1189
Practice Address - Fax:985-871-1184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty