Healthcare Provider Details

I. General information

NPI: 1972805158
Provider Name (Legal Business Name): BEAU PATRICK PICARD D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2010
Last Update Date: 05/28/2020
Certification Date: 05/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 RIMROCK RD SUITE G
BILLINGS MT
59102-0700
US

IV. Provider business mailing address

1257 POE ST
BILLINGS MT
59105-2655
US

V. Phone/Fax

Practice location:
  • Phone: 406-259-4908
  • Fax: 406-252-0040
Mailing address:
  • Phone: 406-580-0404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1244
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: