Dr. Gene L Boucher, DC
Chiropractor in Fairfield, New Jersey
1184694788- Practice location
- 26 Mill St, Fairfield, NJ 07004-3824
- Phone
- 736-505-2259
- Fax
- —
- Last updated
- April 3, 2020
Gene Louis Boucher is a Chiropractor based in Fairfield, NJ. Gene Louis Boucher practices in Fairfield, NJ and has the professional credentials of DC. The NPI Number for Gene Louis Boucher is 1184694788 and holds a License No. mc005511 (NJ). The current practice location address for Gene Louis Boucher is 26 Mill St, Fairfield, NJ 07004-3824 and can be reached out via phone at 736-505-2259.
Provider Profile Details
- NPI Number
- 1184694788
- Provider Name
- Gene Louis Boucher
- Credential
- DC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 26 Mill St, Fairfield, NJ 07004-3824
- Phone Number
- 736-505-2259
- Primary Taxonomy
- Chiropractor · 111N00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 25, 2006
- Last Update Date
- April 3, 2020
- Certification Date
- April 3, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 26 Mill St
Fairfield, NJ 07004-3824 - City
- Fairfield
- State
- New Jersey
- Zip
- 07004-3824
- Phone Number
- 736-505-2259
Provider Business Mailing Address Details
- Address
- 26 Mill St
Fairfield, NJ 07004-3824 - City
- Fairfield
- State
- NJ
- Zip
- 07004-3824
- Phone Number
- 973-650-5225
- Fax Number
- 973-345-4119
License Information
- Taxonomy (1)
- Specialist/Technologist, Other, Electroneurodiagnostic · 246ZE0600X
- License Number (2)
- mc005511
- License State (2)
- NJ
- Taxonomy (2)
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Gene L Boucher, DC?
The NPI number of Dr. Gene L Boucher, DC is 1184694788. It was assigned on January 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Gene L Boucher, DC?
Dr. Gene L Boucher, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number mc005511.
Where does Dr. Gene L Boucher, DC practice?
The practice location is 26 Mill St, Fairfield, NJ 07004-3824. The office can be reached at 736-505-2259 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184694788 directly on the NPPES registry website.