Bouchard, Robert Ralph

Bouchard, Robert Ralph is an individual health care provider with primary practice located at 1104 Gault Ave S # A , Fort Payne AL 35967-4920. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bouchard, Robert Ralph can be contacted via phone (256) 844-8215.

Contact Information

Primary practice address
1104 Gault Ave S # A Fort Payne AL 35967-4920
Phone: (256) 844-8215
Fax: (256) 844-8210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1987 Alabama

Profile Details

NPI number 1497848428
LBN Legal business name Bouchard, Robert Ralph
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jan 3rd, 2013 - about 12 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 1497848428 NPPES
Alabama Other 5150338BOU BLUE CROSS
Alabama Other 631263185 BLUE CROSS

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