Boucher, Marie Christine
Boucher, Marie Christine is an individual health care provider with primary practice located at 10 Higgins Highway , Mansfield CT 06250. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Boucher, Marie Christine can be contacted via phone (860) 423-2587.Contact Information
Primary practice address
10 Higgins Highway
Mansfield CT 06250
Phone: (860) 423-2587
Fax: (203) 239-5648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 9303 | Connecticut |
Profile Details
| NPI number | 1083793210 |
|---|---|
| LBN Legal business name | Boucher, Marie Christine |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Dec 20th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083793210 | NPPES |
| Connecticut | MEDICAID | 008002392 |
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