Individual provider · Type 1 NPI
Jacque Arlin Boutwell Jr., CFA
Surgical Assistant · Elkhart, IN
Practice location
3301 County Rd 6 E
Elkhart, IN 46514-7673
Fax (574) 262-3214
Mailing address
5146 Reliable Pkwy
Chicago, IL 60686-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Technologist | 246ZS0410X | None listed |
| Surgical Assistant Primary | 246ZC0007X | None listed |
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 h…
About NPI 1013062405
Jacque Arlin Boutwell Jr., CFA's National Provider Identifier is 1013062405, issued on Jan 24, 2007. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Elkhart, IN. The record was last updated on Nov 25, 2014.