Bombardier, Michael

Bombardier, Michael is an individual health care provider with primary practice located at 321C Poplar Dr , Petersburg VA 23805-9306. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Bombardier, Michael can be contacted via phone (804) 733-5591.

Contact Information

Primary practice address
321C Poplar Dr Petersburg VA 23805-9306
Phone: (804) 733-5591
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001235974 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024175011 Virginia

Profile Details

NPI number 1457876559
LBN Legal business name Bombardier, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2017
Last updated Dec 7th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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