Boutte, James N.

Boutte, James N. is an individual health care provider with primary practice located at 1900 Exeter Rd Suite 210, Germantown TN 38138-2954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Boutte, James N. can be contacted via phone (901) 818-2162.

Contact Information

Primary practice address
1900 Exeter Rd Suite 210 Germantown TN 38138-2954
Phone: (901) 818-2162
Fax: (901) 818-2163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD24410 Tennessee

Profile Details

NPI number 1548235591
LBN Legal business name Boutte, James N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated May 22nd, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548235591 NPPES
Arkansas MEDICAID 127394001
Arkansas MEDICAID 206150807
Arkansas MEDICAID 0120522
Arkansas MEDICAID 3076141

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