Bouchard, Tyler Zachary

Bouchard, Tyler Zachary is an individual health care provider with primary practice located at 1302 Heyward St , Columbia SC 29208-3407. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bouchard, Tyler Zachary can be contacted via phone (262) 765-1267.

Contact Information

Primary practice address
1302 Heyward St Columbia SC 29208-3407
Phone: (262) 765-1267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2000038516 South Carolina

Profile Details

NPI number 1508530551
LBN Legal business name Bouchard, Tyler Zachary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2021
Last updated Aug 3rd, 2021 - about 3 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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