Bouchard-Nichols, Marlis Yvonne

Bouchard-Nichols, Marlis Yvonne is an sole proprietor health care provider with primary practice located at 6 Crystal Ln , Latham NY 12110-1714. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bouchard-Nichols, Marlis Yvonne can be contacted via phone (518) 785-4705.

Contact Information

Primary practice address
6 Crystal Ln Latham NY 12110-1714
Phone: (518) 785-4705
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 007750-1 New York

Profile Details

NPI number 1528203916
LBN Legal business name Bouchard-Nichols, Marlis Yvonne
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2008
Last updated Dec 13th, 2008 - about 17 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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