John Bouchard, M.D.
Individual provider Active NPI Internal Medicine Physician · Caribou, ME
NPI 1447228010 · NPPES record last updated Feb 1, 2011
Key facts
- NPI
- 1447228010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 011647 (ME)
- Practice address
- 163 Van Buren Rd
Caribou, ME 04736-3567 - Phone
- (207) 498-3111
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011647 | ME | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 011647 | ME | Yes |
Addresses
Primary practice location
163 Van Buren Rd
Caribou, ME 04736-3567
Mailing address
PO Box 40
Caribou, ME 04736-0040
Phone (207) 498-2350
Other providers in Caribou, ME
- Treska M. Berube
- Linda Bird
- Lori Bishop
- Julie J Blackstone
- Cindy A Bouchard
- Julie M Bouchard
- Jessica L. Bouley
- Jeremy B Boulier
- Lindsey Elise Bourget
- Rachel Marie Bradford
All providers in Caribou, ME · Internal Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.