Bourque, Jason
Bourque, Jason is an individual health care provider with primary practice located at 120 Rue Louis Xiv , Lafayette LA 70508-5739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bourque, Jason can be contacted via phone (337) 769-7779.Contact Information
Primary practice address
120 Rue Louis Xiv
Lafayette LA 70508-5739
Phone: (337) 769-7779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 10033777 | Texas |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | Q3854 | Texas |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 307858 | Louisiana |
Profile Details
| NPI number | 1205060175 |
|---|---|
| LBN Legal business name | Bourque, Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2009 |
| Last updated | Mar 17th, 2018 - about 6 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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