Boutilier, Michele A

Boutilier, Michele A is an sole proprietor health care provider with primary practice located at 2400 N. Croatoan Hwy Suite G, Kill Devil Hills NC 27948. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Boutilier, Michele A can be contacted via phone (252) 441-2595.

Contact Information

Primary practice address
2400 N. Croatoan Hwy Suite G Kill Devil Hills NC 27948
Fax: (252) 441-2595
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1003 North Carolina

Profile Details

NPI number 1609062793
LBN Legal business name Boutilier, Michele A
Credentials LHIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2007
Last updated Feb 25th, 2015 - about 10 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 1609062793 NPPES
North Carolina Other 1003 NC HEARING AID LICENSE BO

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