- Practice location
- 30 Mountain St, Bristol, VT 05443-1310
- Phone
- 802-453-4696
- Fax
- 802-471-0360
- Last updated
- May 1, 2020
Marian Ruth Bouchard is a Family Medicine based in Bristol, VT. Marian Ruth Bouchard practices in Bristol, VT and has the professional credentials of MD. The NPI Number for Marian Ruth Bouchard is 1891832457 and holds a License No. 0420008790 (VT). The current practice location address for Marian Ruth Bouchard is 30 Mountain St, Bristol, VT 05443-1310 and can be reached out via phone at 802-453-4696 and via fax at 802-471-0360.
Provider Profile Details
- NPI Number
- 1891832457
- Provider Name
- Marian Ruth Bouchard
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 30 Mountain St, Bristol, VT 05443-1310
- Phone Number
- 802-453-4696
- Fax Number
- 802-471-0360
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 31, 2007
- Last Update Date
- May 1, 2020
- Certification Date
- May 1, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Mountain St
Bristol, VT 05443-1310 - City
- Bristol
- State
- Vermont
- Zip
- 05443-1310
- Phone Number
- 802-453-4696
- Fax Number
- 802-471-0360
Provider Business Mailing Address Details
- Address
- 30 Mountain St
Bristol, VT 05443-1310 - City
- Bristol
- State
- VT
- Zip
- 05443-1310
- Phone Number
- 802-453-4696
- Fax Number
- 802-471-0360
License Information
- License Number
- 0420008790
- License State
- VT
- Taxonomy
- Family Medicine · 207Q00000X · 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. Marian R Bouchard, MD?
The NPI number of Dr. Marian R Bouchard, MD is 1891832457. It was assigned on January 31, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Marian R Bouchard, MD?
Dr. Marian R Bouchard, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VT under license number 0420008790.
Where does Dr. Marian R Bouchard, MD practice?
The practice location is 30 Mountain St, Bristol, VT 05443-1310. The office can be reached at 802-453-4696 (phone) or 802-471-0360 (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 1891832457 directly on the NPPES registry website.