Bouchard, Mark P.

Bouchard, Mark P. is an individual health care provider with primary practice located at 5 Bucknam Rd Suite 2C, Falmouth ME 04105-1392. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bouchard, Mark P. can be contacted via phone (207) 781-1500.

Contact Information

Primary practice address
5 Bucknam Rd Suite 2C Falmouth ME 04105-1392
Phone: (207) 781-1500
Fax: (207) 781-1507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD14613 Maine
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD14613 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD14613 Maine

Profile Details

NPI number 1023040656
LBN Legal business name Bouchard, Mark P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Apr 9th, 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 1023040656 NPPES
Maine MEDICAID 254100099

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