Individual provider · Type 1 NPI
Joseph Todd Boudreau, DC
Chiropractor · Lanoka Harbor, NJ
NPI number
1083770671
Active
Practice location
411 US Highway 9, Suite 1
Lanoka Harbor, NJ 08734-2818
Fax (609) 971-0109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | CH 7984 (FL) |
| Chiropractor Primary | 111N00000X | 38MC00657100 (NJ) |
Chiropractor: 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 interrelationship with other body systems.
3 other providers at this address
About NPI 1083770671
Joseph Todd Boudreau, DC's National Provider Identifier is 1083770671, issued on Dec 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lanoka Harbor, NJ. The record was last updated on Oct 8, 2007.