Boucher, Michael J

Boucher, Michael J is an individual health care provider with primary practice located at 5 Mobile Infirmary Cir , Mobile AL 36607-3513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Boucher, Michael J can be contacted via phone (251) 435-2646.

Contact Information

Primary practice address
5 Mobile Infirmary Cir Mobile AL 36607-3513
Phone: (251) 435-2646
Fax: (251) 435-6478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 16746 Alabama
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.16746 Alabama

Profile Details

NPI number 1922030808
LBN Legal business name Boucher, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 28th, 2009 - about 15 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 1922030808 NPPES
Alabama Other 51533347 BLUE CROSS
Alabama Other 51003502 BLUE CROSS
Alabama MEDICAID 000098517 BLUE CROSS
Alabama Other 51098517 BLUE CROSS
Alabama MEDICAID 009936088 BLUE CROSS
Alabama MEDICAID 009936091 BLUE CROSS
Alabama MEDICAID 009936089 BLUE CROSS
Alabama Other 51533346 BLUE CROSS

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