Bouton, Grace Dorothy

Bouton, Grace Dorothy is an individual health care provider with primary practice located at 401 Highland Ave , Somerville MA 02144-2516. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bouton, Grace Dorothy can be contacted via phone (888) 502-4571.

Contact Information

Primary practice address
401 Highland Ave Somerville MA 02144-2516
Phone: (888) 502-4571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA7204 Massachusetts

Profile Details

NPI number 1417506684
LBN Legal business name Bouton, Grace Dorothy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2019
Last updated Dec 9th, 2022 - about 3 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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