Provider Demographics
NPI:1710962212
Name:SOILEAU, WILLIAM K (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:K
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 1:2222 MAGAZINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-5637
Mailing Address - Country:US
Mailing Address - Phone:504-524-9797
Mailing Address - Fax:504-524-9798
Practice Address - Street 1:2222 MAGAZINE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-5637
Practice Address - Country:US
Practice Address - Phone:504-524-9797
Practice Address - Fax:504-524-9798
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA850111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA56389Medicare ID - Type Unspecified