Bouton, Michael S
Bouton, Michael S is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bouton, Michael S can be contacted via phone (701) 234-2251.Contact Information
Primary practice address
801 Broadway N
Fargo ND 58102-3641
Phone: (701) 234-2251
Fax: (701) 234-2050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R4107 | Arkansas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G9329 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 10920 | North Dakota |
Profile Details
| NPI number | 1356336358 |
|---|---|
| LBN Legal business name | Bouton, Michael S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Mar 25th, 2022 - about 2 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 | 1356336358 | NPPES |
| North Dakota | MEDICAID | 14800 |
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