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Contact Information

RICHARD T BOUCHE, DPM
1551 NW 54TH ST
SEATTLE, WA98107-3845
 Phone: 206-782-3383
 Fax: 206-782-9585
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RICHARD T BOUCHE · (Male)

NPI # 1407897515
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/09/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # PO00000288
  • WA Medicaid 1603406
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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