Bouche, Michelle

Bouche, Michelle is an individual health care provider with primary practice located at 1506 S Oneida St , Appleton WI 54915-1305. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Bouche, Michelle can be contacted via phone (920) 738-2681.

Contact Information

Primary practice address
1506 S Oneida St Appleton WI 54915-1305
Fax:
Website:

Health care specialties

Profile Details

NPI number 1689702169
LBN Legal business name Bouche, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689702169 NPPES
Wisconsin MEDICAID 40478400

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