Boucher, Tina Anne
Boucher, Tina Anne is an individual health care provider with primary practice located at 807 Broad St , Meriden CT 06450-4301. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Boucher, Tina Anne can be contacted via phone (203) 238-3668.Contact Information
Primary practice address
807 Broad St
Meriden CT 06450-4301
Phone: (203) 238-3668
Fax: (203) 238-3670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 0000805 | Connecticut |
Profile Details
| NPI number | 1518945401 |
|---|---|
| LBN Legal business name | Boucher, Tina Anne |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | May 26th, 2016 - about 8 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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