Bouyea, Michelle M.

Bouyea, Michelle M. is an individual health care provider with primary practice located at 1000 Salem Rd Suite B, Willingboro NJ 08046-2852. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Bouyea, Michelle M. can be contacted via phone (877) 476-6642.

Contact Information

Primary practice address
1000 Salem Rd Suite B Willingboro NJ 08046-2852
Phone: (877) 476-6642
Fax: (914) 819-0061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA07317700 New Jersey

Profile Details

NPI number 1124001797
LBN Legal business name Bouyea, Michelle M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jan 16th, 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 1124001797 NPPES
New Jersey MEDICAID 8739901
New Jersey Other P00953298

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