Bouffard, Mark H
Bouffard, Mark H is an individual health care provider with primary practice located at 72650 Fred Waring Dr Suite 214, Palm Desert CA 92260-5006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Bouffard, Mark H can be contacted via phone (760) 776-7999.Contact Information
Primary practice address
72650 Fred Waring Dr Suite 214
Palm Desert CA 92260-5006
Phone: (760) 776-7999
Fax: (760) 776-7994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | A89206 | California |
Profile Details
| NPI number | 1528168622 |
|---|---|
| LBN Legal business name | Bouffard, Mark H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Aug 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528168622 | NPPES |
| California | Other | P00404516 | MC RAIL ROAD |
| California | Other | 330808867 | MC RAIL ROAD |
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