Boutros, Michael
Boutros, Michael is an individual health care provider with primary practice located at 2373 Nj-36 , Atlantic Highlands NJ 07716. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Boutros, Michael can be contacted via phone (732) 872-6595.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 25MZ00157600 | New Jersey |
Profile Details
| NPI number | 1215685177 |
|---|---|
| LBN Legal business name | Boutros, Michael |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2022 |
| Last updated | Mar 10th, 2022 - about 4 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 | 1215685177 | NPPES |
| New Jersey | Other | 25MZ00157600 | 25MZ00157600 |
| New Jersey | Other | 25MZ00157600 | 25MZ00157600 |
| New Jersey | MEDICAID | 25MZ00157600 | 25MZ00157600 |
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