location
search-icon
person
Jacob Paul Boucher
Student in an Organized Health Care Education/Training Program in Kenosha, Wisconsin
NPI 1619501442

Jacob Paul Boucher is a Student in an Organized Health Care Education/Training Program based in Kenosha, WI. Jacob Paul Boucher practices in Kenosha, WI. The NPI Number for Jacob Paul Boucher is 1619501442 and holds a License No. (Wisconsin).

The current practice location address for Jacob Paul Boucher is 2001 Alford Park Dr, Kenosha, WI and can be reached out via phone at 262-424-5253.

Location: 2001 Alford Park Dr, Kenosha, WI, 53140-1927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619501442
Provider Name
Jacob Paul Boucher
Credential
Provider Entity Type
Individual
Gender
Male
Address
2001 Alford Park Dr, Kenosha, WI, 53140-1927
Phone Number
262-424-5253
Fax Number
Provider Enumeration Date
03/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 Alford Park Dr
City
Kenosha
State
Wisconsin
Zip
53140-1927
Phone Number
262-424-5253
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Alford Park Dr
City
Kenosha
State
Wisconsin
Zip
53140-1927
Phone Number
262-424-5253
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.