Bour, Eric Steven
Bour, Eric Steven is an individual health care provider with primary practice located at 1010 Prince Ave Ste 300 , Athens GA 30606-5805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bour, Eric Steven can be contacted via phone (706) 425-1470.Contact Information
Primary practice address
1010 Prince Ave Ste 300
Athens GA 30606-5805
Phone: (706) 425-1470
Fax: (706) 425-1471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 079719 | Georgia |
Profile Details
| NPI number | 1548245913 |
|---|---|
| LBN Legal business name | Bour, Eric Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Jan 18th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548245913 | NPPES |
| South Carolina | MEDICAID | GP2489 | |
| South Carolina | Other | 576007863190 | |
| South Carolina | Other | P00378890 |
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