Bourque, Kristin Elizabeth
Bourque, Kristin Elizabeth is an sole proprietor health care provider with primary practice located at 1400 Coleman Ave Mercer University Athletic Department, Macon GA 31207-0001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Bourque, Kristin Elizabeth can be contacted via phone (443) 745-3741.Contact Information
Primary practice address
1400 Coleman Ave Mercer University Athletic Department
Macon GA 31207-0001
Phone: (443) 745-3741
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1285747642 |
|---|---|
| LBN Legal business name | Bourque, Kristin Elizabeth |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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