Active NPIIndividual providerSole proprietor

Dr. Joseph T Boudreau, DC

Chiropractor in Lanoka Harbor, New Jersey

NPI Number1083770671
Practice location
411 US Highway 9, Suite 1, Lanoka Harbor, NJ 08734-2818
Fax
609-971-0109
Last updated
October 8, 2007

Joseph Todd Boudreau is a Chiropractor based in Lanoka Harbor, NJ. Joseph Todd Boudreau practices in Lanoka Harbor, NJ and has the professional credentials of DC. The NPI Number for Joseph Todd Boudreau is 1083770671 and holds a License No. CH 7984 (FL). The current practice location address for Joseph Todd Boudreau is 411 US Highway 9, Suite 1, Lanoka Harbor, NJ 08734-2818 and can be reached out via phone at 609-971-0101 and via fax at 609-971-0109.

Provider Profile Details

NPI Number
1083770671
Provider Name
Joseph Todd Boudreau
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
411 US Highway 9, Suite 1, Lanoka Harbor, NJ 08734-2818
Phone Number
609-971-0101
Fax Number
609-971-0109
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 28, 2006
Last Update Date
October 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
411 US Highway 9
Suite 1
Lanoka Harbor, NJ 08734-2818
Zip
08734-2818
Phone Number
609-971-0101
Fax Number
609-971-0109
Lanoka Harbor, NJ 08734Get directions →

Provider Business Mailing Address Details

Address
411 US Highway 9
Suite 1
Lanoka Harbor, NJ 08734-2818
City
Lanoka Harbor
State
NJ
Zip
08734-2818
Phone Number
609-971-0101
Fax Number
609-971-0109

License Information

License Number (1)
CH 7984
License State (1)
FL
Taxonomy (1)
Chiropractor · 111N00000X
License Number (2)
38MC00657100
License State (2)
NJ
Taxonomy (2)
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Joseph T Boudreau, DC?

The NPI number of Dr. Joseph T Boudreau, DC is 1083770671. It was assigned on December 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Joseph T Boudreau, DC?

Dr. Joseph T Boudreau, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in FL under license number CH 7984.

Where does Dr. Joseph T Boudreau, DC practice?

The practice location is 411 US Highway 9, Suite 1, Lanoka Harbor, NJ 08734-2818. The office can be reached at 609-971-0101 (phone) or 609-971-0109 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083770671 directly on the NPPES registry website.

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