Individual
CINDY A BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
42 HIGH ST, CARIBOU, ME 04736-2709
(207) 493-0900
(207) 493-7800
Mailing address
42 HIGH ST, CARIBOU, ME 04736-2709
(207) 493-0900
(207) 493-7800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1098
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034516
ANTHEM BLUECROSS AND BLUE
ME
Enumeration date
02/20/2007
Last updated
07/09/2007
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