Bouchard, Marc

Bouchard, Marc is an individual health care provider with primary practice located at 189 Prouty Dr , Newport VT 05855-9326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bouchard, Marc can be contacted via phone (802) 334-7900.

Contact Information

Primary practice address
189 Prouty Dr Newport VT 05855-9326
Phone: (802) 334-7900
Fax: (802) 334-3281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0420009453 Vermont

Profile Details

NPI number 1932219409
LBN Legal business name Bouchard, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 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 1932219409 NPPES
Vermont MEDICAID 0VN1583
Vermont Other 00029315

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