Bouchard, Jacques Maurice
Bouchard, Jacques Maurice is an sole proprietor health care provider with primary practice located at 515 S Almon St Apt A , Moscow ID 83843-2986. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bouchard, Jacques Maurice can be contacted via phone (208) 550-3060.Contact Information
Primary practice address
515 S Almon St Apt A
Moscow ID 83843-2986
Phone: (208) 550-3060
Fax: (208) 210-1640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-14719 | Idaho |
Profile Details
| NPI number | 1073871844 |
|---|---|
| LBN Legal business name | Bouchard, Jacques Maurice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2012 |
| Last updated | Nov 13th, 2024 - about 2 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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