Boutwell, Jennifer Lincy

Boutwell, Jennifer Lincy is an individual health care provider with primary practice located at 112 N 3Notch St , Troy AL 36081-2010. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Boutwell, Jennifer Lincy can be contacted via phone (334) 792-5020.

Contact Information

Primary practice address
112 N 3Notch St Troy AL 36081-2010
Phone: (334) 792-5020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1548977168
LBN Legal business name Boutwell, Jennifer Lincy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2022
Last updated Nov 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548977168 NPPES
Alabama Other 22-240073 22-240073

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