Boutelle, Cierra Jean

Boutelle, Cierra Jean is an sole proprietor health care provider with primary practice located at 4391 Soda Creek Rd Apt 4 , Oshkosh WI 54901-1149. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Boutelle, Cierra Jean can be contacted via phone (608) 290-3418.

Contact Information

Primary practice address
4391 Soda Creek Rd Apt 4 Oshkosh WI 54901-1149
Phone: (608) 290-3418
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1164137972
LBN Legal business name Boutelle, Cierra Jean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2023
Last updated Jan 16th, 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.

Request for update

Popular Providers