Jackie Bouchard, ST
Specialist/Technologist in Newington, Connecticut
1851438485- Practice location
- 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111
- Phone
- 860-664-5480
- Fax
- 860-667-8416
- Last updated
- July 8, 2007
Jackie Bouchard is a Specialist/Technologist based in Newington, CT. Jackie Bouchard practices in Newington, CT and has the professional credentials of ST. The NPI Number for Jackie Bouchard is 1851438485 and holds a License No. 001413 (CT). The current practice location address for Jackie Bouchard is 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 and can be reached out via phone at 860-664-5480 and via fax at 860-667-8416.
Provider Profile Details
- NPI Number
- 1851438485
- Provider Name
- Jackie Bouchard
- Credential
- ST
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111
- Phone Number
- 860-664-5480
- Fax Number
- 860-667-8416
- Primary Taxonomy
- Specialist/Technologist · 225500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 31, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 181 Patricia Genova Drive
Eastern Rehabilitation Network (5th Floor)
Newington, CT 06111 - City
- Newington
- State
- Connecticut
- Zip
- 06111
- Phone Number
- 860-664-5480
- Fax Number
- 860-667-8416
Provider Business Mailing Address Details
- Address
- 181 Patricia Genova Drive
Eastern Rehabilitation Network (5th Floor)
Newington, CT 06111 - City
- Newington
- State
- CT
- Zip
- 06111
- Phone Number
- 860-664-5480
- Fax Number
- 860-667-8416
License Information
- License Number
- 001413
- License State
- CT
- Taxonomy
- Specialist/Technologist · 225500000X · 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 Jackie Bouchard, ST?
The NPI number of Jackie Bouchard, ST is 1851438485. It was assigned on January 31, 2007 and is currently active in the NPPES registry.
What is the specialty of Jackie Bouchard, ST?
Jackie Bouchard, ST is registered under the primary taxonomy Specialist/Technologist (code 225500000X), licensed in CT under license number 001413.
Where does Jackie Bouchard, ST practice?
The practice location is 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111. The office can be reached at 860-664-5480 (phone) or 860-667-8416 (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 1851438485 directly on the NPPES registry website.