Bourdeau, James Edward
Bourdeau, James Edward is an individual health care provider with primary practice located at 6465 S Yale Ave Suite 507, Tulsa OK 74136-7823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bourdeau, James Edward can be contacted via phone (918) 481-2760.Contact Information
Primary practice address
6465 S Yale Ave Suite 507
Tulsa OK 74136-7823
Phone: (918) 481-2760
Fax: (918) 481-2775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 17511 | Oklahoma |
Profile Details
| NPI number | 1710097803 |
|---|---|
| LBN Legal business name | Bourdeau, James Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 14th, 2013 - about 11 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 | 1710097803 | NPPES |
| Oklahoma | Other | 17511 | STATE MEDICAL LICENSE |
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