Bouchard, Dail Marie
Bouchard, Dail Marie is an sole proprietor health care provider with primary practice located at 111 Edgartown Vineyard Haven Rd , Vineyard Haven MA 02568-4036. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bouchard, Dail Marie can be contacted via phone (508) 693-7900.Contact Information
Primary practice address
111 Edgartown Vineyard Haven Rd
Vineyard Haven MA 02568-4036
Phone: (508) 693-7900
Fax: (508) 696-0401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 477 | Massachusetts |
Profile Details
| NPI number | 1679880165 |
|---|---|
| LBN Legal business name | Bouchard, Dail Marie |
| Credentials | LADC-1, CADAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2010 |
| Last updated | Sep 7th, 2010 - about 16 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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