Boucher, Jonathan H

Boucher, Jonathan H is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Boucher, Jonathan H can be contacted via phone (914) 329-4272.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 22397-40 Wisconsin

Profile Details

NPI number 1457131070
LBN Legal business name Boucher, Jonathan H
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2023
Last updated Oct 2nd, 2023 - about last year

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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