Boettcher, Paul

Boettcher, Paul is an individual health care provider with primary practice located at 1111 S Main St Suite 210, Grapevine TX 76051-5577. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Boettcher, Paul can be contacted via phone (214) 563-5909.

Contact Information

Primary practice address
1111 S Main St Suite 210 Grapevine TX 76051-5577
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-15-20633 South Dakota

Profile Details

NPI number 1457715260
LBN Legal business name Boettcher, Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2016
Last updated Jan 5th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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