Bouchard, Donald Francis
Bouchard, Donald Francis is an sole proprietor health care provider with primary practice located at 17 Waterhouse Ln , Chester CT 06412-1267. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Bouchard, Donald Francis can be contacted via phone (860) 526-4333.Contact Information
Primary practice address
17 Waterhouse Ln
Chester CT 06412-1267
Phone: (860) 526-4333
Fax: (860) 526-4333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | Connecticut |
Profile Details
| NPI number | 1003004532 |
|---|---|
| LBN Legal business name | Bouchard, Donald Francis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2007 |
| Last updated | Oct 10th, 2007 - about 18 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 | 1003004532 | NPPES |
| Connecticut | Other | GO376254 | BLUE CROSS/SHIELD MA |
| Connecticut | Other | 12DME0363CT02 | BLUE CROSS/SHIELD MA |
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