Provider Demographics
NPI:1093280018
Name:NECAISE, SKYE (DC)
Entity Type:Individual
Prefix:
First Name:SKYE
Middle Name:
Last Name:NECAISE
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 1:5242 HWY 604
Mailing Address - Street 2:
Mailing Address - City:PEARLINGTON
Mailing Address - State:MS
Mailing Address - Zip Code:39572
Mailing Address - Country:US
Mailing Address - Phone:228-216-2900
Mailing Address - Fax:
Practice Address - Street 1:1925 CORPORATE SQUARE DR
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-3163
Practice Address - Country:US
Practice Address - Phone:228-216-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-05
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1840111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor