Bourne, Jason R

Bourne, Jason R is an individual health care provider with primary practice located at 815 State Ave Suite 3, Marysville WA 98270-4254. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bourne, Jason R can be contacted via phone (360) 659-0211.

Contact Information

Primary practice address
815 State Ave Suite 3 Marysville WA 98270-4254
Phone: (360) 659-0211
Fax: (360) 658-0716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DE00009603 Washington

Profile Details

NPI number 1104922194
LBN Legal business name Bourne, Jason R
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 18 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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