DR. RANDAL SCOTT BOUCHARD D.C. NPI 1164595179

NPI Information

NPI: 1164595179
Provider Name: DR. RANDAL SCOTT BOUCHARD, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
1 CANYON DRIVE
KAYENTA, AZ
ZIP 86033
Phone: (928) 697-2547
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DR. Randal Scott Bouchard, D.C. is a chiropractor in Kayenta, AZ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Randal Scott Bouchard, D.C. NPI is 1164595179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 CANYON DRIVE
KAYENTA, AZ
ZIP 86033-817
Phone: (928) 697-2547
Fax: (928) 697-2549

The enumeration date for this NPI number is 11/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		5801	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1050201	OTHER	ARIZONA	ASHN
2	218760-01	OTHER	ARIZONA	HMA
3	2111887	OTHER	ARIZONA	CCN FIRST HEALTH
4	AZ0939060	OTHER	ARIZONA	BCBSAZ

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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