Bouchard, Matthew P

Bouchard, Matthew P is an individual health care provider with primary practice located at 620 Howard Ave Department Of Emergency Medicine, Altoona PA 16601-4899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bouchard, Matthew P can be contacted via phone (814) 889-2866.

Contact Information

Primary practice address
620 Howard Ave Department Of Emergency Medicine Altoona PA 16601-4899
Phone: (814) 889-2866
Fax: (814) 889-6785
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD069555L Pennsylvania

Profile Details

NPI number 1447206859
LBN Legal business name Bouchard, Matthew P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Mar 20th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447206859 NPPES
Pennsylvania Other 926133 BLUE SHIELD
Pennsylvania MEDICAID 102194588 BLUE SHIELD

Popular Providers