Boucree, Joseph B.

Boucree, Joseph B. is an sole proprietor health care provider with primary practice located at 1570 Lindberg Dr Ste 8 , Slidell LA 70458-8084. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Boucree, Joseph B. can be contacted via phone (985) 205-3456.

Contact Information

Primary practice address
1570 Lindberg Dr Ste 8 Slidell LA 70458-8084
Fax: (985) 288-0047
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 020305 Louisiana

Profile Details

NPI number 1730110263
LBN Legal business name Boucree, Joseph B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Oct 12th, 2015 - about 10 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 1730110263 NPPES
Louisiana MEDICAID 1182257

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