Bouchard, Bryan Edward

Bouchard, Bryan Edward is an individual health care provider with primary practice located at 2Nd Tank Battalion , Camp Lejeune NC 28542. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Bouchard, Bryan Edward can be contacted via phone (910) 449-9092.

Contact Information

Primary practice address
2Nd Tank Battalion Camp Lejeune NC 28542
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1861692857
LBN Legal business name Bouchard, Bryan Edward
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Jul 19th, 2007 - about 17 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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