Bourne, Robert Cm
Bourne, Robert Cm is an individual health care provider with primary practice located at 1300 E Cooley Dr , Colton CA 92324-3905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bourne, Robert Cm can be contacted via phone (909) 370-4100.Contact Information
Primary practice address
1300 E Cooley Dr
Colton CA 92324-3905
Phone: (909) 370-4100
Fax: (909) 796-4158
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A31522 | California |
Profile Details
NPI number | 1417985847 |
---|---|
LBN Legal business name | Bourne, Robert Cm |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2006 |
Last updated | Feb 26th, 2020 - about 4 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 | 1417985847 | NPPES |
California | MEDICAID | OOA315220 |
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