Bouchard, Beverley L

Bouchard, Beverley L is an individual health care provider with primary practice located at 1003 Mahone St , Fredericksburg VA 22401-6214. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Nursing Service Related Providers / Doula. Other Service Providers / Midwife is her primary health care specialty. Bouchard, Beverley L can be contacted via phone (540) 318-0055.

Contact Information

Primary practice address
1003 Mahone St Fredericksburg VA 22401-6214
Phone: (540) 318-0055
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X PENDING Virginia
Nursing Service Related Providers / Doula 374J00000X
Other Service Providers / Midwife 176B00000X CPM22050016 Virginia

Profile Details

NPI number 1841602299
LBN Legal business name Bouchard, Beverley L
Credentials CPM, LM
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2014
Last updated Oct 31st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841602299 NPPES
Virginia Other 0129000176 VIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS
Virginia Other 99499 VIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS

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