Boucher, Wendy J
Boucher, Wendy J is an individual health care provider with primary practice located at 140 Academy St Ste 10 , Presque Isle ME 04769-3102. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Boucher, Wendy J can be contacted via phone (207) 764-3734.Contact Information
Primary practice address
140 Academy St Ste 10
Presque Isle ME 04769-3102
Phone: (207) 764-3734
Fax: (207) 764-4183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 22383 | Nebraska |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 7009 | Alaska |
Profile Details
| NPI number | 1811962988 |
|---|---|
| LBN Legal business name | Boucher, Wendy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811962988 | NPPES |
| Alaska | MEDICAID | MD1824 |
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