Provider Demographics
NPI:1972805158
Name:PICARD, BEAU PATRICK (DC)
Entity type:Individual
Prefix:DR
First Name:BEAU
Middle Name:PATRICK
Last Name:PICARD
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 1:1257 POE ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-2655
Mailing Address - Country:US
Mailing Address - Phone:406-580-0404
Mailing Address - Fax:
Practice Address - Street 1:1690 RIMROCK RD
Practice Address - Street 2:SUITE G
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-0700
Practice Address - Country:US
Practice Address - Phone:406-259-4908
Practice Address - Fax:406-252-0040
Is Sole Proprietor?:No
Enumeration Date:2010-11-22
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1244111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor