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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1972895886 NPPES
Louisiana MEDICAID 2153200

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