Individual provider

MR. DONALD FRANCIS BOUCHARD

CMS NPPES lists MR. DONALD FRANCIS BOUCHARD as an individual provider record with NPI 1003004532. The current record reports a primary practice location in CHESTER, CT and primary taxonomy code 171W00000X.

NPI 1003004532Record type Type 1Primary taxonomy 171W00000X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    17 WATERHOUSE LNCHESTER, CT 064121267

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 171W00000XPrimary reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
October 10, 2007

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.