Boudreaux, Beau David
Boudreaux, Beau David is an individual health care provider with primary practice located at 726 N Acadia Rd Ste 3400 , Thibodaux LA 70301-5009. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Boudreaux, Beau David can be contacted via phone (985) 449-4656.Contact Information
Primary practice address
726 N Acadia Rd Ste 3400
Thibodaux LA 70301-5009
Phone: (985) 449-4656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD.207047 | Louisiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.207047 | Louisiana |
Profile Details
| NPI number | 1972895886 |
|---|---|
| LBN Legal business name | Boudreaux, Beau David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2011 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972895886 | NPPES |
| Louisiana | MEDICAID | 2153200 |
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