Boucher, Jordan Lynn

Boucher, Jordan Lynn is an individual health care provider with primary practice located at 110 Liberty St Ste 2A , Brockton MA 02301-5674. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Boucher, Jordan Lynn can be contacted via phone (508) 894-0766.

Contact Information

Primary practice address
110 Liberty St Ste 2A Brockton MA 02301-5674
Phone: (508) 894-0766
Fax: (508) 565-0097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI 60543717 Washington

Profile Details

NPI number 1215310669
LBN Legal business name Boucher, Jordan Lynn
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2015
Last updated May 4th, 2020 - about 6 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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