Provider Demographics
NPI:1568223378
Name:SOILEAU, CORY NEAL (DC)
Entity Type:Individual
Prefix:
First Name:CORY
Middle Name:NEAL
Last Name:SOILEAU
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 1:221 W JUDGE PEREZ DR
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-4901
Mailing Address - Country:US
Mailing Address - Phone:504-271-6500
Mailing Address - Fax:504-279-7778
Practice Address - Street 1:221 W JUDGE PEREZ DR
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-4901
Practice Address - Country:US
Practice Address - Phone:504-271-6500
Practice Address - Fax:504-279-7778
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1968111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor