Provider Demographics
NPI:1437338118
Name:CATHALEEN S CAILLOUET GET OFF MY NERVES CHIROPRACTIC
Entity Type:Organization
Organization Name:CATHALEEN S CAILLOUET GET OFF MY NERVES CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHALEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAILLOUET
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:225-295-9993
Mailing Address - Street 1:10979 COURSEY BLVD STE J
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-0403
Mailing Address - Country:US
Mailing Address - Phone:225-295-9993
Mailing Address - Fax:225-295-9939
Practice Address - Street 1:10979 COURSEY BLVD STE J
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-0403
Practice Address - Country:US
Practice Address - Phone:225-295-9993
Practice Address - Fax:225-295-9939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1291111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAG6074OtherBLUE CROSS
LAG6074OtherBLUE CROSS