Boulton, Michelle Lynne

Boulton, Michelle Lynne is an individual health care provider with primary practice located at 171 E. Hoard Street , Watertown NY 13601-1515. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Boulton, Michelle Lynne can be contacted via phone (315) 786-1767.

Contact Information

Primary practice address
171 E. Hoard Street Watertown NY 13601-1515
Phone: (315) 786-1767
Fax: (315) 786-1856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 011070-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 011070-1 New York

Profile Details

NPI number 1336167709
LBN Legal business name Boulton, Michelle Lynne
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Sep 29th, 2020 - about 5 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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