Boulet, John G
Boulet, John G is an individual health care provider with primary practice located at 101 Sivley Rd Sw Em Dept, Huntsville AL 35801-4421. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Boulet, John G can be contacted via phone (256) 265-9905.Contact Information
Primary practice address
101 Sivley Rd Sw Em Dept
Huntsville AL 35801-4421
Phone: (256) 265-9905
Fax: (256) 265-9910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.27888 | Alabama |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | G3171 | Texas |
Profile Details
| NPI number | 1669436796 |
|---|---|
| LBN Legal business name | Boulet, John G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Feb 9th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669436796 | NPPES |
| Alabama | MEDICAID | 051558705 | |
| Alabama | Other | 4134776 | |
| Alabama | MEDICAID | 009943232 | |
| Alabama | Other | 051004447 |
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Sharp, Joe T
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