Boutault, Susan J

Boutault, Susan J is an individual health care provider with primary practice located at 227 W Badillo #3 Accurate Hearing Systems, Covina CA 91723. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Boutault, Susan J can be contacted via phone (626) 732-3510.

Contact Information

Primary practice address
227 W Badillo #3 Accurate Hearing Systems Covina CA 91723
Fax: (626) 732-3520
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA1314 California

Profile Details

NPI number 1851493282
LBN Legal business name Boutault, Susan J
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851493282 NPPES
California MEDICAID HA00013140

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