Boudreau, Joseph Todd

Boudreau, Joseph Todd is an sole proprietor health care provider with primary practice located at 411 Us Highway 9 Suite 1, Lanoka Harbor NJ 08734-2818. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Boudreau, Joseph Todd can be contacted via phone (609) 971-0101.

Contact Information

Primary practice address
411 Us Highway 9 Suite 1 Lanoka Harbor NJ 08734-2818
Phone: (609) 971-0101
Fax: (609) 971-0109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH 7984 Florida
Chiropractic Providers / Chiropractor 111N00000X 38MC00657100 New Jersey

Profile Details

NPI number 1083770671
LBN Legal business name Boudreau, Joseph Todd
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Oct 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083770671 NPPES
New Jersey Other 111509WL9 RENERING PROVIDER NUMBER

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