Bouchard, Martha
Bouchard, Martha is an individual health care provider with primary practice located at 111 Clocktower Commons , Brewster NY 10509. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bouchard, Martha can be contacted via phone (845) 279-5187.Contact Information
Primary practice address
111 Clocktower Commons
Brewster NY 10509
Phone: (845) 279-5187
Fax: (845) 279-5168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 160414 | New York |
Profile Details
| NPI number | 1467439893 |
|---|---|
| LBN Legal business name | Bouchard, Martha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Jun 12th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467439893 | NPPES |
| New York | MEDICAID | 00924727 |
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