Bourgeois, Breanne
Bourgeois, Breanne is an sole proprietor health care provider with primary practice located at 1814 W Owen K Garriott Rd , Enid OK 73703-5525. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bourgeois, Breanne can be contacted via phone (580) 823-8017.Contact Information
Primary practice address
1814 W Owen K Garriott Rd
Enid OK 73703-5525
Phone: (580) 823-8017
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1720609019 |
|---|---|
| LBN Legal business name | Bourgeois, Breanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2020 |
| Last updated | Apr 28th, 2020 - 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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