Joseph Todd Boudreau in Lanoka Harbor - Chiropractor
Joseph Todd Boudreau - NPI 1083770671
Joseph Todd Boudreau is a Chiropractor in Lanoka Harbor, New Jersey. Joseph Todd Boudreau practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Joseph Todd Boudreau is 1083770671. The last update date is 2007-10-08.
Joseph Todd Boudreau's current location address is 411 Us Highway 9, Lanoka Harbor, New Jersey. You can contact this provider via phone number 6099710101 and fax number 6099710109. The mailing address for Joseph Todd Boudreau is 411 Us Highway 9, Lanoka Harbor, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Todd Boudreau |
|---|---|
| Address | 411 Us Highway 9, Lanoka Harbor, New Jersey |
| Phone Number | 6099710101 |
| Fax Number | 6099710109 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1083770671 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-10-08 |
Provider Mailing Address Detail
| Address | 411 Us Highway 9 |
|---|---|
| City | Lanoka Harbor |
| State | New Jersey (NJ) |
| Post Code | 87342818 |
| Phone Number | 6099710101 |
| Fax Number | 6099710109 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH 7984 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111509WL9 | NJ | RENERING PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Joseph Todd Boudreau by the Centers for Medicare & Medicaid Services?
The Joseph Todd Boudreau has been assigned the NPI (National Provider Identifier) 1083770671 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Joseph Todd Boudreau's physical address?
The Joseph Todd Boudreau is physically located at 411 Us Highway 9, in the city of Lanoka Harbor, NJ, with the postal code 87342818.
What is Joseph Todd Boudreau's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joseph Todd Boudreau's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Joseph Todd Boudreau receive its 1083770671 assignment from the Centers for Medicare & Medicaid Services?
The Joseph Todd Boudreau was assigned its 1083770671 by the Centers for Medicare & Medicaid Services on 2006-12-28.
As of what date were the details pertaining to Joseph Todd Boudreau last refreshed?
The information related to the Joseph Todd Boudreau, including its address, specialty, and other relevant details, was last updated on 2007-10-08.
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