Boulet, John E.

Boulet, John E. is an individual health care provider with primary practice located at 1714 W Anklam Rd Suite 104, Tucson AZ 85745-2689. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Boulet, John E. can be contacted via phone (520) 838-3540.

Contact Information

Primary practice address
1714 W Anklam Rd Suite 104 Tucson AZ 85745-2689
Phone: (520) 838-3540
Fax: (520) 325-3526
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 12754 Arizona

Profile Details

NPI number 1053399881
LBN Legal business name Boulet, John E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated May 7th, 2018 - about 8 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 1053399881 NPPES
Arizona MEDICAID 248931

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