| Andrew Easterly, DC | |
| 801 Johnson St, Tallulah, LA 71282-4534 | |
| (318) 935-0899 | |
| (318) 493-5096 | 
| Full Name | Andrew Easterly | 
|---|---|
| Gender | Male | 
| Speciality | Chiropractor | 
| Location | 801 Johnson St, Tallulah, Louisiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407267289 | NPI | - | NPPES | 
| 2646753 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 111N00000X | Chiropractor | 1709 (Louisiana) | Primary | 
| Provider Name | Jdh Management Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1083173470 PECOS PAC ID: 3375929698 Enrollment ID: O20221010001898 | 
| Provider Name | Easterly Enterprises Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1023855947 PECOS PAC ID: 4183161151 Enrollment ID: O20240808000672 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Andrew Easterly, DC 801 Johnson St, Tallulah, LA 71282-4534 Ph: (318) 935-0899 | Andrew Easterly, DC 801 Johnson St, Tallulah, LA 71282-4534 Ph: (318) 935-0899 | 
| Easterly Enterprises Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 801 Johnson St, Tallulah, LA 71282 Phone: 318-935-0899 Fax: 318-493-5096 | |
| Dr. Dallas Humble, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 801 Johnson St, Tallulah, LA 71282 Phone: 318-303-6142 Fax: 318-855-8453 |