Boulter, Michael J
Boulter, Michael J is an sole proprietor health care provider with primary practice located at 419 5Th St Ne , Jamestown ND 58401-3300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Boulter, Michael J can be contacted via phone (701) 253-4855.Contact Information
Primary practice address
419 5Th St Ne
Jamestown ND 58401-3300
Phone: (701) 253-4855
Fax: (701) 253-4815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 5338 | North Dakota |
Profile Details
| NPI number | 1386677110 |
|---|---|
| LBN Legal business name | Boulter, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1386677110 | NPPES |
| North Dakota | MEDICAID | 15405 |
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