Boucher, Douglas E
Boucher, Douglas E is an individual health care provider with primary practice located at 115 Woodbine Lane , Danville PA 17822-5208. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Boucher, Douglas E can be contacted via phone (570) 271-6621.Contact Information
Primary practice address
115 Woodbine Lane
Danville PA 17822-5208
Phone: (570) 271-6621
Fax: (570) 271-5655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA000486L | Pennsylvania |
Profile Details
| NPI number | 1972578094 |
|---|---|
| LBN Legal business name | Boucher, Douglas E |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | May 19th, 2008 - about 16 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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