Bourgeois, Nicole Orgeron

Bourgeois, Nicole Orgeron is an individual health care provider with primary practice located at 525 Saint Mary St , Thibodaux LA 70301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bourgeois, Nicole Orgeron can be contacted via phone (985) 446-6284.

Contact Information

Primary practice address
525 Saint Mary St Thibodaux LA 70301
Phone: (985) 446-6284
Fax: (985) 447-1754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TP507 Louisiana

Profile Details

NPI number 1982796991
LBN Legal business name Bourgeois, Nicole Orgeron
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 5th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982796991 NPPES
Louisiana Other P00395268 RAILROAD MEDICARE

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