Bourassa, Laina Jo

Bourassa, Laina Jo is an individual health care provider with primary practice located at 4707 Buckingham Ct , Chester VA 23831-4261. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bourassa, Laina Jo can be contacted via phone (804) 748-9090.

Contact Information

Primary practice address
4707 Buckingham Ct Chester VA 23831-4261
Phone: (804) 748-9090
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 57.012207 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101245888 Virginia

Profile Details

NPI number 1598851230
LBN Legal business name Bourassa, Laina Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jan 10th, 2014 - about 12 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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