Provider Demographics
NPI:1417944620
Name:BILODEAU, JAMES MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:BILODEAU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DUDLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01571
Mailing Address - Country:US
Mailing Address - Phone:508-943-9561
Mailing Address - Fax:508-943-4143
Practice Address - Street 1:185 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DUDLEY
Practice Address - State:MA
Practice Address - Zip Code:01571
Practice Address - Country:US
Practice Address - Phone:508-943-9561
Practice Address - Fax:508-943-4143
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA402111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1602152Medicaid
MAY35291OtherBCBS
MA8476592001OtherCIGNA
MA1020501OtherFALLON
978343OtherNETWORK HEALTH
MAY35291OtherBCBS