Provider Demographics
NPI:1548063431
Name:MELISSA ETAGE MANUEL, D.C., LLC
Entity type:Organization
Organization Name:MELISSA ETAGE MANUEL, D.C., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ETAGE
Authorized Official - Last Name:MANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:337-580-5742
Mailing Address - Street 1:PO BOX 1333
Mailing Address - Street 2:
Mailing Address - City:JENA
Mailing Address - State:LA
Mailing Address - Zip Code:71342-1333
Mailing Address - Country:US
Mailing Address - Phone:337-580-5742
Mailing Address - Fax:
Practice Address - Street 1:155 NINTH STREET
Practice Address - Street 2:SUITE B
Practice Address - City:JENA
Practice Address - State:LA
Practice Address - Zip Code:71342
Practice Address - Country:US
Practice Address - Phone:318-992-2022
Practice Address - Fax:318-992-2037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty