Bouchard, Lisa

Bouchard, Lisa is an individual health care provider with primary practice located at 311 Alfred St , Biddeford ME 04005-3127. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Bouchard, Lisa can be contacted via phone (207) 286-8416.

Contact Information

Primary practice address
311 Alfred St Biddeford ME 04005-3127
Phone: (207) 286-8416
Fax: (207) 286-8440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC209 Maine

Profile Details

NPI number 1083816870
LBN Legal business name Bouchard, Lisa
Credentials LMT, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Jan 10th, 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 1083816870 NPPES
Maine Other 043580 ANTHEM BCBS STAR #

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