Bourassa, Keely
Bourassa, Keely is an sole proprietor health care provider with primary practice located at 1200 S Center St , Terre Haute IN 47802-1118. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bourassa, Keely can be contacted via phone (317) 753-7308.Contact Information
Primary practice address
1200 S Center St
Terre Haute IN 47802-1118
Phone: (317) 753-7308
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 37003359A | Indiana |
Profile Details
| NPI number | 1417643149 |
|---|---|
| LBN Legal business name | Bourassa, Keely |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2023 |
| Last updated | Apr 21st, 2023 - 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.
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