Boucher, Catherine

Boucher, Catherine is an individual health care provider with primary practice located at 570 Long Point Rd Ste 200 , Mount Pleasant SC 29464-7940. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Boucher, Catherine can be contacted via phone (843) 881-0320.

Contact Information

Primary practice address
570 Long Point Rd Ste 200 Mount Pleasant SC 29464-7940
Phone: (843) 881-0320
Fax: (843) 881-5453
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 19695 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19695 South Carolina

Profile Details

NPI number 1457727679
LBN Legal business name Boucher, Catherine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2015
Last updated Mar 12th, 2022 - about 4 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 1457727679 NPPES
South Carolina Other SC77017818 MEDICARE PTAN
South Carolina MEDICAID NP3370 MEDICARE PTAN

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