Bourque, Douglas Michael
Bourque, Douglas Michael is an individual health care provider with primary practice located at 3509 Eastern Ave , Baltimore MD 21224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bourque, Douglas Michael can be contacted via phone (410) 558-4900.Contact Information
Primary practice address
3509 Eastern Ave
Baltimore MD 21224
Phone: (410) 558-4900
Fax: (410) 522-1475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 030359 | Maryland |
Profile Details
| NPI number | 1427054907 |
|---|---|
| LBN Legal business name | Bourque, Douglas Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Mar 28th, 2013 - about 12 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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