Bourgon, Adam Labree

Bourgon, Adam Labree is an individual health care provider with primary practice located at 633D Medical Group 77 Nealy Ave, Joint Base Langley-Eustis VA 23665-2040. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bourgon, Adam Labree can be contacted via phone (757) 764-6950.

Contact Information

Primary practice address
633D Medical Group 77 Nealy Ave Joint Base Langley-Eustis VA 23665-2040
Phone: (757) 764-6950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 74912 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 0102205429 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 02004369A Indiana

Profile Details

NPI number 1659638575
LBN Legal business name Bourgon, Adam Labree
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2012
Last updated May 3rd, 2021 - about 3 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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