Boutin, Jimmy Roger
Boutin, Jimmy Roger is an individual health care provider with primary practice located at 2333 Biddle St , Wyandotte MI 48192-4668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Boutin, Jimmy Roger can be contacted via phone (734) 246-7913.Contact Information
Primary practice address
2333 Biddle St
Wyandotte MI 48192-4668
Phone: (734) 246-7913
Fax: (734) 246-6968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301055999 | Michigan |
Profile Details
| NPI number | 1417976937 |
|---|---|
| LBN Legal business name | Boutin, Jimmy Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 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.
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