Bouchard, Teresa Ann
Bouchard, Teresa Ann is an individual health care provider with primary practice located at 371 Nassau Blvd , Garden City Park NY 11040-5254. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Bouchard, Teresa Ann can be contacted via phone (516) 248-3647.Contact Information
Primary practice address
371 Nassau Blvd
Garden City Park NY 11040-5254
Phone: (516) 248-3647
Fax: (516) 414-8519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | X002932-1 | New York |
Profile Details
| NPI number | 1487682548 |
|---|---|
| LBN Legal business name | Bouchard, Teresa Ann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487682548 | NPPES |
| New York | Other | 6687175 | CIGNA |
| New York | Other | 0878669 | CIGNA |
| New York | Other | 0079064 | CIGNA |
| New York | Other | X4495 | CIGNA |
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