Bourgard, Jennifer L

Bourgard, Jennifer L is an individual health care provider with primary practice located at 1635 Maple Ln , Ashland WI 54806-3610. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bourgard, Jennifer L can be contacted via phone (715) 685-5400.

Contact Information

Primary practice address
1635 Maple Ln Ashland WI 54806-3610
Phone: (715) 685-5400
Fax: (715) 685-5102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15485-131 Wisconsin

Profile Details

NPI number 1356589501
LBN Legal business name Bourgard, Jennifer L
Credentials SAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2009
Last updated Jan 27th, 2009 - about 15 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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