El-Hage Boutrous, Gabriel Y

El-Hage Boutrous, Gabriel Y is an sole proprietor health care provider with primary practice located at 4565 Dressler Rd Nw Suite Ll 21, Canton OH 44718-2549. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. El-Hage Boutrous, Gabriel Y can be contacted via phone (330) 491-9700.

Contact Information

Primary practice address
4565 Dressler Rd Nw Suite Ll 21 Canton OH 44718-2549
Phone: (330) 491-9700
Fax: (330) 491-9730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3718 Ohio

Profile Details

NPI number 1285690040
LBN Legal business name El-Hage Boutrous, Gabriel Y
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Nov 2nd, 2007 - about 17 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 1285690040 NPPES
Ohio MEDICAID 0685290

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