Bouchard, Teresa Ann

Bouchard, Teresa Ann is an individual health care provider with primary practice located at 371 Nassau Blvd , Garden City Park NY 11040-5254. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Bouchard, Teresa Ann can be contacted via phone (516) 248-3647.

Contact Information

Primary practice address
371 Nassau Blvd Garden City Park NY 11040-5254
Fax: (516) 414-8519
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X002932-1 New York

Profile Details

NPI number 1487682548
LBN Legal business name Bouchard, Teresa Ann
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487682548 NPPES
New York Other 6687175 CIGNA
New York Other 0878669 CIGNA
New York Other 0079064 CIGNA
New York Other X4495 CIGNA

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