Bouchard, Beverley L
Bouchard, Beverley L is an individual health care provider with primary practice located at 1003 Mahone St , Fredericksburg VA 22401-6214. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Nursing Service Related Providers / Doula. Other Service Providers / Midwife is her primary health care specialty. Bouchard, Beverley L can be contacted via phone (540) 318-0055.Contact Information
Primary practice address
1003 Mahone St
Fredericksburg VA 22401-6214
Phone: (540) 318-0055
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Midwife | 176B00000X | PENDING | Virginia |
Nursing Service Related Providers / Doula | 374J00000X | ||
Other Service Providers / Midwife | 176B00000X | CPM22050016 | Virginia |
Profile Details
NPI number | 1841602299 |
---|---|
LBN Legal business name | Bouchard, Beverley L |
Credentials | CPM, LM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 20th, 2014 |
Last updated | Oct 31st, 2022 - about 2 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 | 1841602299 | NPPES |
Virginia | Other | 0129000176 | VIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS |
Virginia | Other | 99499 | VIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS |
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