Boutilier, Susan B

Boutilier, Susan B is an individual health care provider with primary practice located at 2280 Hemby Ln , Greenville NC 27834-3773. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Boutilier, Susan B can be contacted via phone (252) 744-9400.

Contact Information

Primary practice address
2280 Hemby Ln Greenville NC 27834-3773
Phone: (252) 744-9400
Fax: (252) 744-9401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 9701256 North Carolina

Profile Details

NPI number 1558368936
LBN Legal business name Boutilier, Susan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Feb 1st, 2024 - about 7 months 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 1558368936 NPPES
North Carolina Other 1122N BCBSNC
North Carolina Other 370011207 BCBSNC
North Carolina MEDICAID 1558368936 BCBSNC

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