Boursiquot, Murielle M

Boursiquot, Murielle M is an sole proprietor health care provider with primary practice located at 7901 Henry Ave Apt G302 , Philadelphia PA 19128-3072. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Boursiquot, Murielle M can be contacted via phone (267) 694-6588.

Contact Information

Primary practice address
7901 Henry Ave Apt G302 Philadelphia PA 19128-3072
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 29785595 Pennsylvania

Profile Details

NPI number 1356951024
LBN Legal business name Boursiquot, Murielle M
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2020
Last updated Aug 6th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356951024 NPPES
Pennsylvania Other 203711803 SANFORD BROWN

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