Alan J Boudreau in Jacksonville - Chiropractor
Alan J Boudreau - NPI 1710991724
Alan J Boudreau is a Chiropractor in Jacksonville, Florida. Alan J Boudreau practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Alan J Boudreau is 1710991724. The last update date is 2011-11-01.
Alan J Boudreau's current location address is 12620 Beach Blvd Ste 5, Jacksonville, Florida. You can contact this provider via phone number 9049971717 and fax number 9046453483. The mailing address for Alan J Boudreau is 12620 Beach Blvd Ste 5, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan J Boudreau |
|---|---|
| Address | 12620 Beach Blvd Ste 5, Jacksonville, Florida |
| Phone Number | 9049971717 |
| Fax Number | 9046453483 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1710991724 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2011-11-01 |
Provider Mailing Address Detail
| Address | 12620 Beach Blvd Ste 5 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322467130 |
| Phone Number | 9049971717 |
| Fax Number | 9046453483 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH8488 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique identifier code issued to Alan J Boudreau by the Centers for Medicare & Medicaid Services?
The Alan J Boudreau has been assigned the NPI (National Provider Identifier) 1710991724. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Alan J Boudreau?
The Alan J Boudreau is physically situated at 12620 Beach Blvd Ste 5, in the city of Jacksonville, state of FL, with the postal code 322467130.
What is Alan J Boudreau's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Alan J Boudreau is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710991724 to Alan J Boudreau?
The Centers for Medicare & Medicaid Services originally issued the 1710991724 to Alan J Boudreau on 2006-07-27.
When was the information regarding Alan J Boudreau most recently updated?
The details pertaining to the Alan J Boudreau, including its address, specialty, and other relevant information, were last refreshed on 2011-11-01.
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