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
Fax: (701) 234-2050
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356336358 NPPES
North Dakota MEDICAID 14800

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