Alan J. Boudreau, D.C.

Chiropractor · Jacksonville, FL

Individual Active NPI

NPI number 1710991724

Practice location

12620 Beach Blvd Ste 5
Jacksonville, FL 32246-7130
Phone
(904) 997-1717
Fax
(904) 645-3483

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NPI record

NPI
1710991724
Entity type
Individual (Type 1)
Enumeration date
July 27, 2006
Last updated
November 1, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CH8488 FL

About Dr. Boudreau

Alan J. Boudreau, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 12620 Beach Blvd Ste 5, Jacksonville, FL 32246-7130. The NPI number 1710991724 was assigned on July 27, 2006 and the record was last updated on November 1, 2011.

Dr. Boudreau lists a license in the registry: #CH8488 (FL) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alan J. Boudreau, D.C.?

The NPI number is 1710991724.

What is the phone number of Dr. Boudreau?

The phone number listed for the practice location is (904) 997-1717.

Where is Dr. Boudreau located?

12620 Beach Blvd Ste 5, Jacksonville, FL 32246-7130.

What is the taxonomy code for Dr. Boudreau?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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