Bouche, Richard Thomas

Bouche, Richard Thomas is an individual health care provider with primary practice located at 1551 Nw 54Th St , Seattle WA 98107-3845. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Bouche, Richard Thomas can be contacted via phone (206) 782-3383.

Contact Information

Primary practice address
1551 Nw 54Th St Seattle WA 98107-3845
Phone: (206) 782-3383
Fax: (206) 782-9585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO00000288 Washington

Profile Details

NPI number 1407897515
LBN Legal business name Bouche, Richard Thomas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 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 1407897515 NPPES
Washington MEDICAID 1603406

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