Bouchard, Marc Anthony
Bouchard, Marc Anthony is an sole proprietor health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bouchard, Marc Anthony can be contacted via phone (360) 636-4836.Contact Information
Primary practice address
1615 Delaware St
Longview WA 98632-2367
Phone: (360) 636-4836
Fax: (360) 636-6792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0102203346 | Virginia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | OP60942131 | Washington |
Profile Details
| NPI number | 1750677605 |
|---|---|
| LBN Legal business name | Bouchard, Marc Anthony |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2011 |
| Last updated | May 29th, 2024 - about last year |
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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