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Contact Information

SHANNON BOUCHER, MNT
1751 PONTIAC ST
DENVER, CO80220-1831
 Phone: 720-382-4574
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for SHANNON BOUCHER · (Female)

NPI # 1740659226
Status Active
Credentials MNT
Entity Individual
Enumeration date 09/15/2015
Last updated 09/15/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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