Bourquein, Matthew
Bourquein, Matthew is an sole proprietor health care provider with primary practice located at 1600 E Tipton St , Seymour IN 47274-3560. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Bourquein, Matthew can be contacted via phone (812) 522-5252.Contact Information
Primary practice address
1600 E Tipton St
Seymour IN 47274-3560
Phone: (812) 522-5252
Fax: (812) 522-6152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 26029257A | Indiana |
Profile Details
| NPI number | 1518620525 |
|---|---|
| LBN Legal business name | Bourquein, Matthew |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2021 |
| Last updated | Oct 17th, 2021 - about 3 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 | 1518620525 | NPPES |
| Indiana | Other | 26029257A | INDIANA PHARMACIST LICENSE |
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