Bourget, Jeanne M
Bourget, Jeanne M is an sole proprietor health care provider with primary practice located at 4410 106Th St Sw , Mukilteo WA 98275-4700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bourget, Jeanne M can be contacted via phone (425) 388-6004.Contact Information
Primary practice address
4410 106Th St Sw
Mukilteo WA 98275-4700
Phone: (425) 388-6004
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30001711 | Washington |
Profile Details
| NPI number | 1093885436 |
|---|---|
| LBN Legal business name | Bourget, Jeanne M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Dec 6th, 2012 - about 13 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 | 1093885436 | NPPES |
| Washington | MEDICAID | 9602152 | |
| Washington | Other | AP30001711 |
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