Provider Demographics
NPI:1487993481
Name:HOUDE, JOSEPH FREDEERICK (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FREDEERICK
Last Name:HOUDE
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 1:26923 FUERTE
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-8149
Mailing Address - Country:US
Mailing Address - Phone:949-784-0333
Mailing Address - Fax:949-784-0335
Practice Address - Street 1:26923 FUERTE
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-8149
Practice Address - Country:US
Practice Address - Phone:949-784-0333
Practice Address - Fax:949-784-0335
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32504111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician