Boucher, Gene Louis

Boucher, Gene Louis is an sole proprietor health care provider with primary practice located at 26 Mill St , Fairfield NJ 07004-3824. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Boucher, Gene Louis can be contacted via phone (736) 505-2259.

Contact Information

Primary practice address
26 Mill St Fairfield NJ 07004-3824
Phone: (736) 505-2259
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X
Chiropractic Providers / Chiropractor 111N00000X MC005511 New Jersey

Profile Details

NPI number 1184694788
LBN Legal business name Boucher, Gene Louis
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Apr 3rd, 2020 - about 5 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 1184694788 NPPES
New Jersey Other 5489614 AETNA HMO/PPO
New Jersey Other 37-1499484 AETNA HMO/PPO
New Jersey Other 37-1499484 AETNA HMO/PPO

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