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Contact Information

MICHAEL J BOULTER, MD
419 5TH ST NE
JAMESTOWN, ND58401-3300
 Phone: 701-253-4855
 Fax: 701-253-4815
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL J BOULTER · (Male)

NPI # 1386677110
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • ND License # 5338
  • ND Medicaid 15405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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