Bouchard, Louise J

Bouchard, Louise J is an individual health care provider with primary practice located at 667 Waterman Ave , East Providence RI 02914-1712. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bouchard, Louise J can be contacted via phone (401) 438-9500.

Contact Information

Primary practice address
667 Waterman Ave East Providence RI 02914-1712
Phone: (401) 438-9500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1659385458
LBN Legal business name Bouchard, Louise J
Credentials SERVICE COORDINATOR
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 9th, 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 1659385458 NPPES
Rhode Island Other 2092 EI NHPRC
Rhode Island Other 412296 EI NHPRC
Rhode Island MEDICAID ES01788 EI NHPRC
Rhode Island Other 292177 EI NHPRC
Rhode Island Other 6400144 EI NHPRC

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