Boucher, Thomas

Boucher, Thomas is an individual health care provider with primary practice located at 11121 Sun Center Dr Suite G, Rancho Cordova CA 95670-6161. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Boucher, Thomas can be contacted via phone (916) 631-0112.

Contact Information

Primary practice address
11121 Sun Center Dr Suite G Rancho Cordova CA 95670-6161
Phone: (916) 631-0112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1609140425
LBN Legal business name Boucher, Thomas
Credentials CNIM
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2012
Last updated Feb 24th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609140425 NPPES
Other 2238 ABRET CNIM

Popular Providers