Boutet, Michael S
Boutet, Michael S is an individual health care provider with primary practice located at 555 Batavia Pike , Cincinnati OH 45244-1556. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Boutet, Michael S can be contacted via phone (513) 772-1555.Contact Information
Primary practice address
555 Batavia Pike
Cincinnati OH 45244-1556
Phone: (513) 772-1555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | Ohio |
Profile Details
| NPI number | 1790102457 |
|---|---|
| LBN Legal business name | Boutet, Michael S |
| Credentials | QMHS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2014 |
| Last updated | Mar 17th, 2018 - about 8 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 | 1790102457 | NPPES |
| Ohio | MEDICAID | 1669438115 |
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