Provider Demographics
NPI:1598917676
Name:BEAUBIEN, RICHARD (DC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:BEAUBIEN
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 1:811 SOUTH BLVD E STE 110
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5359
Mailing Address - Country:US
Mailing Address - Phone:248-561-9337
Mailing Address - Fax:248-692-0505
Practice Address - Street 1:811 SOUTH BLVD E STE 110
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5359
Practice Address - Country:US
Practice Address - Phone:248-561-9337
Practice Address - Fax:248-692-0505
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10924111N00000X
MI2301009554111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor