Bourque, Suzanne
Bourque, Suzanne is an individual health care provider with primary practice located at 498 Essex St Suite 105, Bangor ME 04401-3990. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Bourque, Suzanne can be contacted via phone (207) 947-0558.Contact Information
Primary practice address
498 Essex St Suite 105
Bangor ME 04401-3990
Phone: (207) 947-0558
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD19400 | Maine |
Profile Details
| NPI number | 1316225923 |
|---|---|
| LBN Legal business name | Bourque, Suzanne |
| Credentials | M.D., B. SC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2011 |
| Last updated | Jan 10th, 2022 - about 2 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 | 1316225923 | NPPES |
| Maine | MEDICAID | 1316225923 |
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