Robert Ralph Bouchard in Fort Payne - Chiropractor
Robert Ralph Bouchard - NPI 1497848428
Robert Ralph Bouchard is a Chiropractor in Fort Payne, Alabama. Robert Ralph Bouchard practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Robert Ralph Bouchard is 1497848428. The last update date is 2013-01-03.
Robert Ralph Bouchard's current location address is 1104 Gault Ave S # A, Fort Payne, Alabama. You can contact this provider via phone number 2568448215 and fax number 2568448210. The mailing address for Robert Ralph Bouchard is 1104 Gault Ave S # A, Fort Payne, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert Ralph Bouchard |
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Address | 1104 Gault Ave S # A, Fort Payne, Alabama |
Phone Number | 2568448215 |
Fax Number | 2568448210 |
Sole Proprietor | N |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1497848428 |
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Provider Enumeration Date | 2006-10-02 |
Last Updated Date | 2013-01-03 |
Provider Mailing Address Detail
Address | 1104 Gault Ave S # A |
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City | Fort Payne |
State | Alabama (AL) |
Post Code | 359674920 |
Phone Number | 2568448215 |
Fax Number | 2568448210 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 1987 |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
5150338BOU | AL | BLUE CROSS | |
631263185 | AL | TAX ID |
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What is the unique 10-digit identifier code assigned to Robert Ralph Bouchard by the Centers for Medicare & Medicaid Services?
The Robert Ralph Bouchard has been issued the NPI (National Provider Identifier) 1497848428 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Robert Ralph Bouchard is physically located?
The Robert Ralph Bouchard is situated at the following address: 1104 Gault Ave S # A, Fort Payne, AL 359674920.
What is Robert Ralph Bouchard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert Ralph Bouchard is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497848428 to Robert Ralph Bouchard?
The Robert Ralph Bouchard received its 1497848428 assignment from the Centers for Medicare & Medicaid Services on 2006-10-02.
As of what date were the Robert Ralph Bouchard's details last updated?
The information pertaining to the Robert Ralph Bouchard, including its address, specialty, and other details, was most recently updated on 2013-01-03.
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