Bourgon, Abigail Rebecca
Bourgon, Abigail Rebecca is an individual health care provider with primary practice located at 345 Convention Way Suite D1, Redwood City CA 94063-1444. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bourgon, Abigail Rebecca can be contacted via phone (650) 306-3900.Contact Information
Primary practice address
345 Convention Way Suite D1
Redwood City CA 94063-1444
Phone: (650) 306-3900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A106944 | California |
Profile Details
NPI number | 1770845083 |
---|---|
LBN Legal business name | Bourgon, Abigail Rebecca |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2012 |
Last updated | Jun 12th, 2012 - about 12 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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