Individual
MICHAEL G LEROUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3030 E MAIN RD STE 6, PORTSMOUTH, RI 02871-4249
(858) 752-9500
Mailing address
1920 MINERAL SPRING AVE UNIT 16, NORTH PROVIDENCE, RI 02904-3742
(401) 354-5500
(401) 354-7470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH13656
FL
111N00000X
Chiropractor
DC30201
CA
111N00000X
Chiropractor
Primary
DCP00381
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29841
BLUE SHIEL D PROVIDER #
RI
01
—
CH13656
STATE OF FL DEPARTMENT OF HEALTH
FL
01
—
DC0302010
BLUE SHIELD
CA
Enumeration date
08/31/2006
Last updated
07/01/2025
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