Bouchillon, John Mark

Bouchillon, John Mark is an individual health care provider with primary practice located at 559 Vincent St Attn: 21 Hcos/Sgoc - Pediatrics, Peterson Afb CO 80914-1540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bouchillon, John Mark can be contacted via phone (719) 556-1197.

Contact Information

Primary practice address
559 Vincent St Attn: 21 Hcos/Sgoc - Pediatrics Peterson Afb CO 80914-1540
Phone: (719) 556-1197
Fax: (877) 813-1756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.35462 Alabama

Profile Details

NPI number 1386030476
LBN Legal business name Bouchillon, John Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2015
Last updated Sep 12th, 2019 - about 6 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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