JOHNATHAN ORY BOUDREAUX DC NPI 1114539418

NPI Information

  • NPI: 1114539418
  • Provider Name: JOHNATHAN ORY BOUDREAUX, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 3219 STERLINGTON RD
    MONROE, LA
    ZIP 71203
  • Phone: (318) 387-5388

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NPI Details

Johnathan Ory Boudreaux, DC is a chiropractor in Monroe, LA. The provider is 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. Johnathan Ory Boudreaux, DC NPI is 1114539418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3219 STERLINGTON RD
MONROE, LA
ZIP 71203-519
Phone: (318) 387-5388

The enumeration date for this NPI number is 8/18/2020 and was last updated on 8/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor1913LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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