Boucher, Shane D.
Boucher, Shane D. is an individual health care provider with primary practice located at 7307 40Th St W Ste B , University Place WA 98466-4385. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Boucher, Shane D. can be contacted via phone (253) 753-6204.Contact Information
Primary practice address
7307 40Th St W Ste B
University Place WA 98466-4385
Phone: (253) 753-6204
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00034742 | Washington |
| Chiropractic Providers / Chiropractor | 111N00000X | 713689 | Oregon |
| Chiropractic Providers / Chiropractor | 111N00000X | 11178 | Texas |
Profile Details
| NPI number | 1093805178 |
|---|---|
| LBN Legal business name | Boucher, Shane D. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jan 14th, 2023 - about 2 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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