Boudreau Chiropractic Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00657100 Issued in NJ

Legal business name

BOUDREAU CHIROPRACTIC CENTER INC

Practice address

411 US Highway 9
Suite 1
Lanoka Harbor, NJ 08734-2818

Phone

(609) 971-0101

Fax

(609) 971-0109

NPI assigned

May 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Todd Boudreau, D.C.NPI 1083770671

Title

President

Phone

(609) 971-0101

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Todd Boudreau, D.C.

  • Chiropractor
  • Lanoka Harbor, NJ
  • NPI 1083770671
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1861613192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 US HIGHWAY 9",
            "address_2": "SUITE 1",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087342818",
            "telephone_number": "609-971-0101",
            "fax_number": "609-971-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 US HIGHWAY 9",
            "address_2": "SUITE 1",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087342818",
            "telephone_number": "609-971-0101",
            "fax_number": "609-971-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUDREAU CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "BOUDREAU",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-971-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00657100",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ma Gay Anito, PT
• Ars Treatment Centers of New Jersey, PC
• Association for the Multiple Impaired Blind, Inc.
• Avelina Flores, M.D.P.C.
• Katherine L Borchert
• Joseph Todd Boudreau, D.C.
• Brett Novick, LMFT
• Kathleen Elizabeth Britton, PHARMACIST
• Terry K Brooks, NP-C
• Building Blocks Behavior Therapy

• Chiropractor in Lanoka Harbor, NJ
• Providers in Lanoka Harbor, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.