Provider Demographics
NPI:1487709879
Name:BEAUMONT, SYLVI E (DC)
Entity type:Individual
Prefix:
First Name:SYLVI
Middle Name:E
Last Name:BEAUMONT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 S CARROLLTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-2024
Mailing Address - Country:US
Mailing Address - Phone:504-864-1234
Mailing Address - Fax:504-864-1239
Practice Address - Street 1:1138 S CARROLLTON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-2024
Practice Address - Country:US
Practice Address - Phone:504-864-1234
Practice Address - Fax:504-864-1239
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA425111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA59056Medicare ID - Type UnspecifiedMEDICARE #
LA0692410Medicare UPIN
LA4417318Medicare UPIN
LA44-00038Medicare UPIN
LAG0969Medicare UPIN