Boucher, Cheryl
Boucher, Cheryl is an individual health care provider with primary practice located at 32 Winthrop St , Augusta ME 04330-5624. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Boucher, Cheryl can be contacted via phone (207) 626-3448.Contact Information
Primary practice address
32 Winthrop St
Augusta ME 04330-5624
Phone: (207) 626-3448
Fax: (207) 621-6228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1306166541 |
|---|---|
| LBN Legal business name | Boucher, Cheryl |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2010 |
| Last updated | Jun 10th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306166541 | NPPES |
| Maine | MEDICAID | 435681499 |
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