Bouchard, Maurice Louis

Bouchard, Maurice Louis is an individual health care provider with primary practice located at 4724 N Davis Hwy , Pensacola FL 32503-2339. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Bouchard, Maurice Louis can be contacted via phone (850) 696-4000.

Contact Information

Primary practice address
4724 N Davis Hwy Pensacola FL 32503-2339
Phone: (850) 696-4000
Fax: (850) 444-7057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0056671 Florida
Allopathic & Osteopathic Physicians / Urology 208800000X ME56671 Florida

Profile Details

NPI number 1154308104
LBN Legal business name Bouchard, Maurice Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jun 20th, 2014 - about 10 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 1154308104 NPPES
Florida MEDICAID 063492100

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