Bourgoin, Ebonie

Bourgoin, Ebonie is an individual health care provider with primary practice located at 104 Javit Ct , Austintown OH 44515-2439. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Bourgoin, Ebonie can be contacted via phone (330) 797-4050.

Contact Information

Primary practice address
104 Javit Ct Austintown OH 44515-2439
Phone: (330) 797-4050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1093352932
LBN Legal business name Bourgoin, Ebonie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2019
Last updated Dec 10th, 2019 - 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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