Bouchard, Bonnie
Bouchard, Bonnie is an individual health care provider with primary practice located at 163 Van Buren Rd Ste 4 , Caribou ME 04736-3567. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Bouchard, Bonnie can be contacted via phone (207) 498-6921.Contact Information
Primary practice address
163 Van Buren Rd Ste 4
Caribou ME 04736-3567
Phone: (207) 498-6921
Fax: (207) 498-1697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN27700 | Maine |
| Other Service Providers / Midwife | 176B00000X | CNM82022 | Maine |
Profile Details
| NPI number | 1003884685 |
|---|---|
| LBN Legal business name | Bouchard, Bonnie |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Sep 17th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003884685 | NPPES |
| Maine | Other | 11459629 | CAQH ID NO. |
| Maine | Other | 8891249 | CAQH ID NO. |
| Maine | Other | 2426723 | CAQH ID NO. |
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