Provider Demographics
NPI:1437416690
Name:SHAYE, SAUL (DC)
Entity Type:Individual
Prefix:
First Name:SAUL
Middle Name:
Last Name:SHAYE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-3536
Mailing Address - Country:US
Mailing Address - Phone:337-367-2567
Mailing Address - Fax:337-367-2578
Practice Address - Street 1:800 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-3536
Practice Address - Country:US
Practice Address - Phone:337-367-2567
Practice Address - Fax:337-367-2578
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA285111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation