Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 1436 | LA |
N | 111NN1001X | Nutrition | 1436 | LA |
N | 111NR0200X | Radiology | 1436 | LA |
N | 213ER0200X | Radiology | 1436 | LA |
Y | 111NR0400X | Rehabilitation Chiropractor | 1436 | LA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 1436 | LA |
NPI | 1609093384 |
---|---|
Provider Name | Dr. Richard Louis Mcelveen |
First Address | Lake Charles, LA 70602-0878 |
Second Address | Lake Charles, LA 70607-8672 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2007 |
Last Update Date | 31/10/2008 |