Bouchard, Kenneth R

Bouchard, Kenneth R is an sole proprietor health care provider with primary practice located at 6777 West Maple Road Otolaryngology/Audiology Henry Ford W.Bloomfiled Hosp, West Bloomfield MI 48322. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Bouchard, Kenneth R can be contacted via phone (248) 925-8276.

Contact Information

Primary practice address
6777 West Maple Road Otolaryngology/Audiology Henry Ford W.Bloomfiled Hosp West Bloomfield MI 48322
Phone: (248) 925-8276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 1601000335 Michigan

Profile Details

NPI number 1316098361
LBN Legal business name Bouchard, Kenneth R
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Oct 22nd, 2012 - about 13 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 1316098361 NPPES
Michigan Other 1601000335 AUDIOLOGIST LICENSE STATE

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