Bourne, Krista
Bourne, Krista is an sole proprietor health care provider with primary practice located at 15 Lillian Street , Port Jefferson Station NY 11776. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bourne, Krista can be contacted via phone (631) 474-8697.Contact Information
Primary practice address
15 Lillian Street
Port Jefferson Station NY 11776
Phone: (631) 474-8697
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 008092-1 | New York |
Profile Details
| NPI number | 1821130659 |
|---|---|
| LBN Legal business name | Bourne, Krista |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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