Bourne, Jonathan
Bourne, Jonathan is an sole proprietor health care provider with primary practice located at 85 Sierra Park Rd , Mammoth Lakes CA 93546-0660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bourne, Jonathan can be contacted via phone (760) 924-4078.Contact Information
Primary practice address
85 Sierra Park Rd
Mammoth Lakes CA 93546-0660
Phone: (760) 924-4078
Fax: (760) 924-4058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G48548 | California |
Profile Details
| NPI number | 1013062660 |
|---|---|
| LBN Legal business name | Bourne, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jul 23rd, 2010 - about 16 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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