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Mr. Robert Ralph Bouchard JR., DC
Chiropractor in Fort Payne, Alabama
NPI 1497848428

Robert Ralph Bouchard JR. is a Chiropractor based in Fort Payne, AL. Robert Ralph Bouchard JR. practices in Fort Payne, AL and has the professional credentials of DC. The NPI Number for Robert Ralph Bouchard JR. is 1497848428 and holds a License No. 1987 (Alabama).

The current practice location address for Robert Ralph Bouchard JR. is 1104 Gault Ave S # A, Fort Payne, AL and can be reached out via phone at 256-844-8215 and via fax at 256-844-8210. You can also correspond with Robert Ralph Bouchard JR. through the mailing address at 1104 GAULT AVE S # A, FORT PAYNE, AL - 35967-4920 (mailing address contact number: 256-844-8215).

Location: 1104 Gault Ave S # A, Fort Payne, AL, 35967-4920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497848428
Provider Name
Robert Ralph Bouchard JR.
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1104 Gault Ave S # A, Fort Payne, AL, 35967-4920
Phone Number
256-844-8215
Fax Number
256-844-8210
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5150338BOU 01 AL BLUE CROSS
631263185 01 AL TAX ID
institution
Provider Business Practice Location Address Details
Address
1104 Gault Ave S # A
City
Fort Payne
State
Alabama
Zip
35967-4920
Phone Number
256-844-8215
Fax Number
256-844-8210
person
Provider Business Mailing Address Details
Address
1104 Gault Ave S # A
City
Fort Payne
State
Alabama
Zip
35967-4920
Phone Number
256-844-8215
Fax Number
256-844-8210
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1987 (Alabama)
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 interrelationship with other body systems.
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