Bourassa, Allison Wehunt
Bourassa, Allison Wehunt is an sole proprietor health care provider with primary practice located at 1043 Jack Vest Dr , Johnson City TN 37614. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, which is considered as her primary health care specialty. Bourassa, Allison Wehunt can be contacted via phone (423) 439-4044.Contact Information
Primary practice address
1043 Jack Vest Dr
Johnson City TN 37614
Phone: (423) 439-4044
Fax: (423) 439-5264
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology | 2251N0400X | 10865 | Tennessee |
Profile Details
NPI number | 1194165696 |
---|---|
LBN Legal business name | Bourassa, Allison Wehunt |
Credentials | PT, DPT, NCS, ATC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 28th, 2013 |
Last updated | Jan 16th, 2024 - about 8 months 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 | 1194165696 | NPPES |
Virginia | MEDICAID | 1194165696 | |
Virginia | MEDICAID | Q078265 |
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