Boutwell, Madison

Boutwell, Madison is an individual health care provider with primary practice located at 397 N 600 E , Mill Creek IN 46365-9607. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Boutwell, Madison can be contacted via phone (219) 851-6845.

Contact Information

Primary practice address
397 N 600 E Mill Creek IN 46365-9607
Phone: (219) 851-6845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36003731A Indiana

Profile Details

NPI number 1104573575
LBN Legal business name Boutwell, Madison
Credentials MSAT, ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2022
Last updated May 30th, 2023 - 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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