Bouchillon, John Mark
Bouchillon, John Mark is an individual health care provider with primary practice located at 559 Vincent St Attn: 21 Hcos/Sgoc - Pediatrics, Peterson Afb CO 80914-1540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bouchillon, John Mark can be contacted via phone (719) 556-1197.Contact Information
Primary practice address
559 Vincent St Attn: 21 Hcos/Sgoc - Pediatrics
Peterson Afb CO 80914-1540
Phone: (719) 556-1197
Fax: (877) 813-1756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.35462 | Alabama |
Profile Details
| NPI number | 1386030476 |
|---|---|
| LBN Legal business name | Bouchillon, John Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2015 |
| Last updated | Sep 12th, 2019 - about 7 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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