Individual
DR. BEAU DUSTIN DOUBLEDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., D.A.C.N.B.
Contact information
Practice address
601 S SHORE DR, UNIT 121, BATTLE CREEK, MI 49014-5440
(269) 963-3072
(269) 963-3072
Mailing address
601 S SHORE DR, UNIT 121, BATTLE CREEK, MI 49014-5440
(269) 963-3072
(269) 963-3085
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301009208
MI
111NN0400X
Neurology Chiropractor
Primary
2301009208
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4978299
—
MI
Enumeration date
09/25/2006
Last updated
08/22/2018
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