Bouchard, Joseph L

Bouchard, Joseph L is an individual health care provider with primary practice located at 159 Union St , Marlborough MA 01752-1274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bouchard, Joseph L can be contacted via phone (508) 624-9687.

Contact Information

Primary practice address
159 Union St Marlborough MA 01752-1274
Fax: (508) 624-9689
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 226130 Massachusetts

Profile Details

NPI number 1609892199
LBN Legal business name Bouchard, Joseph L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Oct 25th, 2020 - about 4 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 1609892199 NPPES
Massachusetts MEDICAID 110082093A

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