Bouthillette, Samantha Lynn

Bouthillette, Samantha Lynn is an individual health care provider with primary practice located at 300 Birnie Ave , Springfield MA 01107-1107. 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. Bouthillette, Samantha Lynn can be contacted via phone (413) 785-4666.

Contact Information

Primary practice address
300 Birnie Ave Springfield MA 01107-1107
Phone: (413) 785-4666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2833 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA5512 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA5512 Massachusetts

Profile Details

NPI number 1013268218
LBN Legal business name Bouthillette, Samantha Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2012
Last updated Jul 1st, 2024 - about last year

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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