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
Phone: (207) 782-1171
Fax: (207) 782-6176
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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