Bourne, Charles

Bourne, Charles is an sole proprietor health care provider with primary practice located at 5528 Morris St , Philadelphia PA 19144-3807. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Bourne, Charles can be contacted via phone (267) 243-9206.

Contact Information

Primary practice address
5528 Morris St Philadelphia PA 19144-3807
Phone: (267) 243-9206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X SP021873 Pennsylvania

Profile Details

NPI number 1326639642
LBN Legal business name Bourne, Charles
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2021
Last updated Jan 29th, 2021 - about 4 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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