Bourque, Brenda

Bourque, Brenda is an individual health care provider with primary practice located at 4510 Pennsylvania Ave Ste C , Charleston WV 25302-4835. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Bourque, Brenda can be contacted via phone (304) 965-9081.

Contact Information

Primary practice address
4510 Pennsylvania Ave Ste C Charleston WV 25302-4835
Phone: (304) 965-9081
Fax: (304) 471-2488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1811769607
LBN Legal business name Bourque, Brenda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2023
Last updated Oct 25th, 2023 - about last year

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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