Boutin, Paul D.

Boutin, Paul D. is an individual health care provider with primary practice located at 51 Fairview Street , Brattleboro VT 05301-6629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Boutin, Paul D. can be contacted via phone (802) 254-6028.

Contact Information

Primary practice address
51 Fairview Street Brattleboro VT 05301-6629
Phone: (802) 254-6028
Fax: (802) 254-7501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 042.0011364 Vermont
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 042 0011364 Vermont

Profile Details

NPI number 1689787673
LBN Legal business name Boutin, Paul D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Nov 27th, 2019 - about 7 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 1689787673 NPPES
Vermont MEDICAID 1013948
Vermont MEDICAID 3113771

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