Bourassa, Samantha Patricia
Bourassa, Samantha Patricia is an sole proprietor health care provider with primary practice located at 2832 E Poleline Ave , Post Falls ID 83854. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Bourassa, Samantha Patricia can be contacted via phone (208) 773-0581.Contact Information
Primary practice address
2832 E Poleline Ave
Post Falls ID 83854
Phone: (208) 773-0581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT-436 | Idaho |
Profile Details
| NPI number | 1245792910 |
|---|---|
| LBN Legal business name | Bourassa, Samantha Patricia |
| Credentials | ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2019 |
| Last updated | Apr 2nd, 2019 - about 6 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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