Boucher, Rene Albert

Boucher, Rene Albert is an individual health care provider with primary practice located at 165 Natchez Trace Ave Suite 205, Bowling Green KY 42103-7940. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Boucher, Rene Albert can be contacted via phone (270) 282-2024.

Contact Information

Primary practice address
165 Natchez Trace Ave Suite 205 Bowling Green KY 42103-7940
Phone: (270) 282-2024
Fax: (270) 393-1913
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 02561 Kentucky
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 02561 Kentucky
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 02561 Kentucky
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 02561 Kentucky

Profile Details

NPI number 1699769869
LBN Legal business name Boucher, Rene Albert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Sep 18th, 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 1699769869 NPPES
Kentucky MEDICAID 64980105

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