Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jacque Arlin Boutwell Jr., CFA

Individual provider Surgical Technologist · NPI 1013062405

Mr. Jacque Arlin Boutwell Jr., CFA is a Surgical Technologist in Elkhart, Indiana. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

3301 County Rd 6 E
Elkhart, IN 46514-7673
Phone: (574) 214-7504
Fax: (574) 262-3214
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X
Surgical Technologist Taxonomy 246ZS0410X

Record details

NPI number1013062405
Entity typeIndividual (Type 1)
GenderMale
Credentials CFA
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESNovember 25, 2014

Other providers in Elkhart