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Contact Information

EMILY B BOUCHER, PA-C
3737 SOUTHERN BLVD
BOONSHOFT BLD. FLOOR E
KETTERING, OH45429
 Phone: 937-294-1489
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for EMILY B BOUCHER · (Female)

NPI # 1255933263
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/13/2020
Last updated 03/08/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 50.006744RX
  • OH License # 1160683
Hospital affiliation(s)
  • KETTERING MEDICAL CENTER - (Acute Care)
    3535 SOUTHERN BOULEVARD
    KETTERING, OH 45429
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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