Boulet, Kathy Ann

Boulet, Kathy Ann is an individual health care provider with primary practice located at 675 Main St Suite 18, Lewiston ME 04240-5802. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Boulet, Kathy Ann can be contacted via phone (207) 782-1171.

Contact Information

Primary practice address
675 Main St Suite 18 Lewiston ME 04240-5802
Fax: (207) 782-6176
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CR779 Maine
Chiropractic Providers / Chiropractor 111N00000X 005842 Missouri

Profile Details

NPI number 1790844850
LBN Legal business name Boulet, Kathy Ann
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Sep 13th, 2013 - about 13 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 1790844850 NPPES
Maine Other 620070401 CIGNA INDIVIDUAL NO.
Maine Other 018172 CIGNA INDIVIDUAL NO.
Maine Other 620063501 CIGNA INDIVIDUAL NO.
Maine Other 350052598 CIGNA INDIVIDUAL NO.
Maine Other M23107 CIGNA INDIVIDUAL NO.
Maine Other 0075 CIGNA INDIVIDUAL NO.
Maine Other 4404011 CIGNA INDIVIDUAL NO.

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