Boucher, Alisa

Boucher, Alisa is an sole proprietor health care provider with primary practice located at 4233 Island Park Dr , Waterford MI 48329-1916. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Boucher, Alisa can be contacted via phone (248) 468-6823.

Contact Information

Primary practice address
4233 Island Park Dr Waterford MI 48329-1916
Phone: (248) 468-6823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1629740113
LBN Legal business name Boucher, Alisa
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2021
Last updated Oct 2nd, 2021 - about 4 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.

Request for update

Popular Providers