Boucher, Jean-Denis

Boucher, Jean-Denis is an sole proprietor health care provider with primary practice located at 11101 Toepperwein Rd , Live Oak TX 78233-3143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Boucher, Jean-Denis can be contacted via phone (210) 651-3233.

Contact Information

Primary practice address
11101 Toepperwein Rd Live Oak TX 78233-3143
Phone: (210) 651-3233
Fax: (210) 651-3234
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X K8022 Texas

Profile Details

NPI number 1205827532
LBN Legal business name Boucher, Jean-Denis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2005
Last updated Apr 22nd, 2021 - about 3 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 1205827532 NPPES
Texas Other 0043QR BC/BS PROVIDER ID
Texas Other 4219937 BC/BS PROVIDER ID

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