Bouchard, Bonnie

Bouchard, Bonnie is an individual health care provider with primary practice located at 163 Van Buren Rd Ste 4 , Caribou ME 04736-3567. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Bouchard, Bonnie can be contacted via phone (207) 498-6921.

Contact Information

Primary practice address
163 Van Buren Rd Ste 4 Caribou ME 04736-3567
Fax: (207) 498-1697
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN27700 Maine
Other Service Providers / Midwife 176B00000X CNM82022 Maine

Profile Details

NPI number 1003884685
LBN Legal business name Bouchard, Bonnie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Sep 17th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003884685 NPPES
Maine Other 11459629 CAQH ID NO.
Maine Other 8891249 CAQH ID NO.
Maine Other 2426723 CAQH ID NO.

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