Boutte, Blaine Phillip

Boutte, Blaine Phillip is an individual health care provider with primary practice located at 108 Sumter Ave , Broussard LA 70518-7312. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Boutte, Blaine Phillip can be contacted via phone (337) 654-1823.

Contact Information

Primary practice address
108 Sumter Ave Broussard LA 70518-7312
Phone: (337) 654-1823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1699424978
LBN Legal business name Boutte, Blaine Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2022
Last updated Mar 22nd, 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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