PATRICK W. BOURQUE, D.C., INC (NPI# 1215242045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215242045 |
| Entity Type | Organization |
| Organization Name | PATRICK W. BOURQUE, D.C., INC |
| Practice Address |
17487 Old Jefferson Hwy Suite D Prairieville LA 70769-4043 |
| Practice Telephone | 2257443902 |
| Mailing Telephone | 2257443902 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |
| Authorized Official Name | PATRICK BOURQUE (PRESIDENT/CEO) |
| Authorized Official Telephone | 2257443902 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
1108 | LA | Chiropractic Providers |
| Street Address |
17487 OLD JEFFERSON HWY SUITE D |
| City | PRAIRIEVILLE |
| State | LA |
| Zip Code | 70769-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902882186 | Derrek Shane Oakley | Chiropractor | 17487 Old Jefferson Hwy, Prairieville, LA 70769-4018 | 2005-12-19 |
| 1104939271 | Patrick W. Bourque | Chiropractor | 17487 Old Jefferson Hwy, Suite D, Prairieville, LA 70769-4043 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670252 | Lam Dentistry | Clinic/Center | 37341 Perkins Road, Prairieville, LA 70769 | 2019-07-09 |
| 1124597836 | Tien-trang Thi Le | Pharmacist | 40567 La-42, Prairieville, LA 70769 | 2018-11-26 |
| 1245707884 | Prairieville Emergency Physicians, Pllc | General Acute Care Hospital | 37358 Market Place Dr., Prairieville, LA 70769 | 2018-11-01 |
| 1750858387 | Prairieville General Hospital, LLC | Emergency Medicine | 37358 Market Place Drive, Prairieville, LA 70769 | 2018-11-01 |
| 1003311234 | Toni Duhe Byers | Counselor | 40228 Parker Road, Prairieville, LA 70769 | 2018-03-29 |
| 1205330990 | Grace Family Chiropractic LLC | Chiropractor | 37283 Swamp Rd Ste 1001, Prairieville, LA 70769 | 2018-03-19 |
| 1184127698 | Kenya Smith | Case Manager/Care Coordinator | 36369 Crestway Ave, Prairieville, LA 70769 | 2018-03-10 |
| 1376055798 | Jennifer Gravois Granier | Pharmacist | 40567 La Hwy 42, Prairieville, LA 70769 | 2017-10-25 |
| 1417474339 | Ascension Medical Associates, LLC | Psychiatry & Neurology | 37325 Market Place Dr., Suite D, Prairieville, LA 70769 | 2017-08-23 |
| 1629598537 | Keshla Washington | Specialist/Technologist | 36505 Oak Plaza Ave, Suite B, Prairieville, LA 70769 | 2017-06-21 |
| Find all providers in zip 70769 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578987244 | Albany Chiropractic LLC | Chiropractor | 28470 La Hwy 43 Suite B, Albany, LA 70711 | 2014-02-14 |
| 1063555662 | Gerry G Provance | Chiropractor | 2007 Clearview Pkwy, Metairie, LA 70001-2404 | 2007-02-14 |
| 1235208547 | William J Ellender | Chiropractor | 7835 Park Ave, Houma, LA 70364-3112 | 2006-11-08 |
| 1619046992 | Shay Weston Corbin | Chiropractor | 12216 Jackson Road, Saint Francisville, LA 70775 | 2006-11-08 |
| 1336118934 | Richard Joseph Hages Jr. | Chiropractor | 6601 Veterans Memorial Blvd, #39, Metairie, LA 70003-3943 | 2006-03-16 |
| 1285612150 | Meril Joseph Dufrene, Jr. | Chiropractor | 3327 Jackson St, Suite F, Alexandria, LA 71301-3372 | 2006-01-02 |
| 1043779523 | Keith A Terro II Dc LLC | Chiropractor | 224 Saint Landry St Ste 2a, Lafayette, LA 70506-3549 | 2019-03-14 |
| 1669850152 | Provance Chiropractic Sports and Wellness, L.L.C. | Chiropractor | 2007 Clearview Pkwy, Metairie, LA 70001-2404 | 2015-05-15 |
| 1982007092 | Mcgraw Chiropractic Clinic, Inc. | Chiropractor | 565 Main St, Many, LA 71449-3028 | 2014-10-02 |
| 1558798058 | The Ryder Clinic, LLC | Chiropractor | 6555 Perkins Rd, Ste 200, Baton Rouge, LA 70808-4237 | 2013-09-30 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIEVILLE |
| Zip Code | 70769 |
Please comment or provide details below to improve the information on PATRICK W. BOURQUE, D.C., INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.