Bouchard, Marian Ruth
Bouchard, Marian Ruth is an individual health care provider with primary practice located at 30 Mountain St , Bristol VT 05443-1310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bouchard, Marian Ruth can be contacted via phone (802) 453-4696.Contact Information
Primary practice address
30 Mountain St
Bristol VT 05443-1310
Phone: (802) 453-4696
Fax: (802) 471-0360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0420008790 | Vermont |
Profile Details
| NPI number | 1891832457 |
|---|---|
| LBN Legal business name | Bouchard, Marian Ruth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | May 1st, 2020 - about 6 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 | 1891832457 | NPPES |
| Vermont | MEDICAID | OVN0681 |
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