MR. MICHAEL BOUTROS L.A.C NPI 1215685177

NPI Information

NPI: 1215685177
Provider Name: MR. MICHAEL BOUTROS, L.A.C
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
2373 NJ-36
ATLANTIC HIGHLANDS, NJ
ZIP 07716
Phone: (732) 872-6595
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MR. Michael Boutros, L.A.C is an acupuncturist in Atlantic Highlands, NJ. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. MR. Michael Boutros, L.A.C NPI is 1215685177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2373 NJ-36
ATLANTIC HIGHLANDS, NJ
ZIP 07716
Phone: (732) 872-6595

The enumeration date for this NPI number is 3/10/2022 and was last updated on 3/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		25MZ00157600	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	25MZ00157600	OTHER	NEW JERSEY	ACUPUNCTURIST
2	25MZ00157600	OTHER	NEW JERSEY	25MZ00157600
3	25MZ00157600	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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