Provider Demographics
NPI:1689856585
Name:LEDET, CHAD THOMAS (DC)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:THOMAS
Last Name:LEDET
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 1:172 CARMEL DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-4127
Mailing Address - Country:US
Mailing Address - Phone:983-624-5566
Mailing Address - Fax:
Practice Address - Street 1:172 CARMEL DR
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-4127
Practice Address - Country:US
Practice Address - Phone:983-624-5566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1448111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition