Active NPIIndividual provider

Alexis C Bouteneff, MD

Otolaryngology in Litchfield, Connecticut

NPI Number1316982515
Practice location
105 Buell RD, Litchfield, CT 06759-3006
Fax
—
Last updated
March 14, 2024

Alexis C. Bouteneff is an Otolaryngology based in Litchfield, CT. Alexis C. Bouteneff practices in Litchfield, CT and has the professional credentials of MD. The NPI Number for Alexis C. Bouteneff is 1316982515 and holds a License No. 64523 (MN). The current practice location address for Alexis C. Bouteneff is 105 Buell RD, Litchfield, CT 06759-3006 and can be reached out via phone at 860-567-9893.

Provider Profile Details

NPI Number
1316982515
Provider Name
Alexis C. Bouteneff
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
105 Buell RD, Litchfield, CT 06759-3006
Phone Number
860-567-9893
Primary Taxonomy
Otolaryngology · 207Y00000X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2006
Last Update Date
March 14, 2024
Certification Date
March 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Buell RD
Litchfield, CT 06759-3006
Zip
06759-3006
Phone Number
860-567-9893
Litchfield, CT 06759Get directions →

Provider Business Mailing Address Details

Address
105 Buell RD
Litchfield, CT 06759-3006
City
Litchfield
State
CT
Zip
06759-3006
Phone Number
860-567-9893

License Information

License Number (1)
64523
License State (1)
MN
Taxonomy (1)
Otolaryngology · 207Y00000X
License Number (2)
C158137
License State (2)
CA
Taxonomy (2)
Otolaryngology · 207Y00000X
License Number (3)
023370
License State (3)
CT
Taxonomy (3)
Otolaryngology · 207Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexis C Bouteneff, MD?

The NPI number of Alexis C Bouteneff, MD is 1316982515. It was assigned on June 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Alexis C Bouteneff, MD?

Alexis C Bouteneff, MD is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in MN under license number 64523.

Where does Alexis C Bouteneff, MD practice?

The practice location is 105 Buell RD, Litchfield, CT 06759-3006. The office can be reached at 860-567-9893 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316982515 directly on the NPPES registry website.

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