Miss Crystal Bouchard, RD is a
Dietitian, Registered based in Magnolia, Delaware. Miss Crystal Bouchard is licensed to practice in Delaware (license number ) and her current practice location is
142 Trillium Dr, Magnolia, Delaware. She can be reached at her office (for appointments etc.) via phone at
(302) 359-6106.
NPI number for Miss Crystal Bouchard is 1366792111 and her current mailing address is 142 Trillium Dr, Magnolia, Delaware. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366792111.
Healthcare Provider's Profile
Full Name | Miss Crystal Bouchard |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 142 Trillium Dr, Magnolia, Delaware |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366792111
- Provider Enumeration Date: 09/19/2012
- Last Update Date: 09/19/2012
Medical Identifiers
Medical identifiers for Miss Crystal Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366792111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (Delaware) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Crystal Bouchard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Crystal Bouchard, RD 142 Trillium Dr, Magnolia, DE 19962-9476 Ph: () - | Miss Crystal Bouchard, RD 142 Trillium Dr, Magnolia, DE 19962-9476 Ph: (302) 359-6106 |
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