Boucan, Scott Emmanuel

Boucan, Scott Emmanuel is an individual health care provider with primary practice located at 988 Oriole Way Sw , Mableton GA 30126-4136. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Boucan, Scott Emmanuel can be contacted via phone (404) 697-9142.

Contact Information

Primary practice address
988 Oriole Way Sw Mableton GA 30126-4136
Phone: (404) 697-9142
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X Georgia

Profile Details

NPI number 1508530429
LBN Legal business name Boucan, Scott Emmanuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2021
Last updated Aug 23rd, 2022 - about 3 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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