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Contact Information

MICHAEL BOUDREAU
175 HIGH ST
ELLSWORTH, ME04605-1730
 Phone: 207-669-3005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for MICHAEL BOUDREAU · (Male)

NPI Number 1518244649
Status Active
Credentials
Entity Individual
Enumeration date 11/03/2011
Last updated 11/03/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • ME License # PR4615
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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