Bourne, Mark Alan

Bourne, Mark Alan is an sole proprietor health care provider with primary practice located at 625 Highway 101 # 168 , Florence OR 97439-7634. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Bourne, Mark Alan can be contacted via phone (503) 789-4374.

Contact Information

Primary practice address
625 Highway 101 # 168 Florence OR 97439-7634
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X

Profile Details

NPI number 1457720450
LBN Legal business name Bourne, Mark Alan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2015
Last updated Sep 20th, 2015 - about 9 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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