Bouchard, Dave Roch

Bouchard, Dave Roch is an individual health care provider with primary practice located at 111 Church St , Laconia NH 03246-3432. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bouchard, Dave Roch can be contacted via phone (603) 524-1100.

Contact Information

Primary practice address
111 Church St Laconia NH 03246-3432
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 575 New Hampshire

Profile Details

NPI number 1801951124
LBN Legal business name Bouchard, Dave Roch
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 19 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 1801951124 NPPES
New Hampshire Other 889985A MVP HEALTHCARE
New Hampshire Other H002311 MVP HEALTHCARE
New Hampshire Other 1405991Y0NH01 MVP HEALTHCARE

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