Boucher, Correne L
Boucher, Correne L is an individual health care provider with primary practice located at 400 Saybrook Rd Suite 206, Middletown CT 06457-4773. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Boucher, Correne L can be contacted via phone (860) 344-0333.Contact Information
Primary practice address
400 Saybrook Rd Suite 206
Middletown CT 06457-4773
Phone: (860) 344-0333
Fax: (860) 344-9703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 037979 | Connecticut |
Profile Details
| NPI number | 1659382000 |
|---|---|
| LBN Legal business name | Boucher, Correne L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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