Dr. Glen M Bouchard, DO
Emergency Medicine in Palmer, Massachusetts
1790751667- Practice location
- 40 Wright St, Palmer, MA 01069-1138
- Phone
- 413-284-5308
- Fax
- 413-284-5413
- Last updated
- December 10, 2015
Glen Michael Bouchard is an Emergency Medicine based in Palmer, MA. Glen Michael Bouchard practices in Palmer, MA and has the professional credentials of DO. The NPI Number for Glen Michael Bouchard is 1790751667 and holds a License No. 000446 (CT). The current practice location address for Glen Michael Bouchard is 40 Wright St, Palmer, MA 01069-1138 and can be reached out via phone at 413-284-5308 and via fax at 413-284-5413.
Provider Profile Details
- NPI Number
- 1790751667
- Provider Name
- Glen Michael Bouchard
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 40 Wright St, Palmer, MA 01069-1138
- Phone Number
- 413-284-5308
- Fax Number
- 413-284-5413
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 28, 2006
- Last Update Date
- December 10, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Wright St
Palmer, MA 01069-1138 - City
- Palmer
- State
- Massachusetts
- Zip
- 01069-1138
- Phone Number
- 413-284-5308
- Fax Number
- 413-284-5413
Provider Business Mailing Address Details
- Address
- 280 Chestnut St
2ND Floor
Springfield, MA 01199-1619 - City
- Springfield
- State
- MA
- Zip
- 01199-1619
- Phone Number
- 413-794-5700
License Information
- License Number (1)
- 000446
- License State (1)
- CT
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- License Number (2)
- 78416
- License State (2)
- MA
- Taxonomy (2)
- Emergency Medicine · 207P00000X · 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. Glen M Bouchard, DO?
The NPI number of Dr. Glen M Bouchard, DO is 1790751667. It was assigned on February 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Glen M Bouchard, DO?
Dr. Glen M Bouchard, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in CT under license number 000446.
Where does Dr. Glen M Bouchard, DO practice?
The practice location is 40 Wright St, Palmer, MA 01069-1138. The office can be reached at 413-284-5308 (phone) or 413-284-5413 (fax).
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 1790751667 directly on the NPPES registry website.