Bourne, Katherine Anne
Bourne, Katherine Anne is an individual health care provider with primary practice located at 25 Highland Ave , Newburyport MA 01950-3867. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Bourne, Katherine Anne can be contacted via phone (978) 463-1000.Contact Information
Primary practice address
25 Highland Ave
Newburyport MA 01950-3867
Phone: (978) 463-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 045623 | Connecticut |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 238026 | Massachusetts |
Profile Details
| NPI number | 1205036712 |
|---|---|
| LBN Legal business name | Bourne, Katherine Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2007 |
| Last updated | Apr 11th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205036712 | NPPES |
| Massachusetts | MEDICAID | 2164264 |
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