National Provider Identifier Database

JACQUE A BOUTWELL JR, CFA – NPI #1013062405
Surgical Assistant

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.


Contact Information

JACQUE A BOUTWELL JR, CFA
3301 COUNTY RD 6 E
ELKHART, IN46514-7673
Phone: 574-214-7504
Fax: 574-262-3214
Website:
Specialty Taxonomy Code
* Surgical Assistant 246ZC0007X

* Indicates primary specialty

NPI Profile & details for JACQUE A BOUTWELL JR

NPI Number 1013062405
Credentials CFA
Entity Individual
Enumeration date 01/24/2007
Last updated 11/25/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • IN Other: 000000577411 ANTHEM BCBS
Hospital affiliation n/a

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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