Provider Demographics
NPI:1730266354
Name:SNOW, JAMES ERIC (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ERIC
Last Name:SNOW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:810 W BAYOU PINES DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-7077
Mailing Address - Country:US
Mailing Address - Phone:337-478-1313
Mailing Address - Fax:337-436-3270
Practice Address - Street 1:810 W BAYOU PINES DR
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-7077
Practice Address - Country:US
Practice Address - Phone:337-478-1313
Practice Address - Fax:337-436-3270
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1461111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor