Bryan Edward Bouchard in Camp Lejeune - Independent Duty Corpsman
Bryan Edward Bouchard - NPI 1861692857
Bryan Edward Bouchard is a Independent Duty Corpsman in Camp Lejeune, North Carolina. Bryan Edward Bouchard practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Bryan Edward Bouchard is 1861692857. The last update date is 2007-07-19.
Bryan Edward Bouchard's current location address is 2nd Tank Battalion, Camp Lejeune, North Carolina. You can contact this provider via phone number 9104499092. The mailing address for Bryan Edward Bouchard is 2nd Tank Battalion, Camp Lejeune, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Edward Bouchard |
|---|---|
| Address | 2nd Tank Battalion, Camp Lejeune, North Carolina |
| Phone Number | 9104499092 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1861692857 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2007-07-19 |
Provider Mailing Address Detail
| Address | 2nd Tank Battalion |
|---|---|
| City | Camp Lejeune |
| State | North Carolina (NC) |
| Post Code | 28542 |
| Phone Number | 9104499092 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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What is the Bryan Edward Bouchard's unique identification number?
The Bryan Edward Bouchard has been assigned the NPI (National Provider Identifier) Number 1861692857 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Bryan Edward Bouchard is physically located?
The Bryan Edward Bouchard is situated at the following address: 2Nd Tank Battalion, Camp Lejeune, NC 28542.
What is the Bryan Edward Bouchard's specialty and taxonomy code?
The Bryan Edward Bouchard's specialty is Independent Duty Corpsman, and the corresponding taxonomy code is 1710I1002X.
When did Bryan Edward Bouchard receive its 1861692857 assignment?
The Bryan Edward Bouchard was assigned its 1861692857 on 2007-07-19, which is the date when this unique identifier was issued to the organization.
As of what date were the Bryan Edward Bouchard's details last updated?
The information pertaining to the Bryan Edward Bouchard, including its address, specialty, and other details, was most recently updated on 2007-07-19.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY