DR. KENNETH EDWARD WOJCIK (NPI# 1760405971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760405971 |
| Entity Type | Individual |
| Full Name | DR. KENNETH EDWARD WOJCIK |
| Credential | D.C. |
| Practice Address |
672 Bert Kouns Industrial Loop Shreveport LA 71118-5701 |
| Practice Telephone | 3186863152 |
| Practice Fax Number | 3186885846 |
| Mailing Telephone | 3186863152 |
| Mailing Fax Number | 3186885846 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 402 | LA | Chiropractic Providers |
| Street Address |
672 BERT KOUNS INDUSTRIAL LOOP |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043259880 | Ihab J. Ibrahim | Pain Medicine | 672 Bert Kouns Industrial Loop, Shreveport, LA 71118-5701 | 2006-06-06 |
| 1699283804 | Ihab John Ibrahim Md LLC | Internal Medicine | 672 Bert Kouns Industrial Loop, Shreveport, LA 71118-5701 | 2018-01-22 |
| 1780017400 | Southside Chiropractic Clinic LLC | Chiropractor | 672 Bert Kouns Industrial Loop, Shreveport, LA 71118-5701 | 2013-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
| 1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
| 1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
| 1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
| 1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
| 1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
| 1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
| 1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
| 1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
| Find all providers in zip 71118 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124596929 | Rachael Ann Durst | Chiropractor | 1520 N Hearne Ave Ste 103, Shreveport, LA 71107-7155 | 2018-11-09 |
| 1952760423 | Dempsey R. Zahn | Chiropractor | 1005 Southland Park Dr, Shreveport, LA 71118-3218 | 2016-02-12 |
| 1164852927 | Diamond Brown | Chiropractor | 1950 E 70th St Ste Cd, Shreveport, LA 71105-5345 | 2013-11-14 |
| 1932456407 | Kimberly L Griggs | Chiropractor | 8575 Fern Ave Ste 101, Shreveport, LA 71105-5677 | 2012-08-14 |
| 1790067593 | Ryan Lee Bates | Chiropractor | 7591 Fern Ave Ste 1502, Shreveport, LA 71105-5748 | 2011-09-16 |
| 1396047981 | Mayfield-bacon Auto & Accident Clinic | Chiropractor | 820 Jordan St Ste 110, Shreveport, LA 71101-4519 | 2010-12-02 |
| 1649456278 | Jason L Maggio | Chiropractor | 8575 Fern Ave, Suite 101, Shreveport, LA 71105-5676 | 2008-01-14 |
| 1992912380 | Eastgate Chiropractic Clinic, Inc | Chiropractor | 1520 N Hearne Ave, Suite 103, Shreveport, LA 71107-7155 | 2007-05-17 |
| 1669687273 | Timothy Robert Levin | Chiropractor | 7700 Jewella Ave, Suite 114, Shreveport, LA 71108-5050 | 2007-05-14 |
| 1629290713 | Michael W Taylor | Chiropractor | 1850 Nelson St, Suite D, Shreveport, LA 71107 | 2007-05-02 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.