Bouressa, Elizabeth Anne Heskett

Bouressa, Elizabeth Anne Heskett is an individual health care provider with primary practice located at 734 Elm St Sw , Albany OR 97321-1934. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bouressa, Elizabeth Anne Heskett can be contacted via phone (541) 812-5111.

Contact Information

Primary practice address
734 Elm St Sw Albany OR 97321-1934
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD203466 Oregon

Profile Details

NPI number 1104890631
LBN Legal business name Bouressa, Elizabeth Anne Heskett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jun 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104890631 NPPES
Oregon MEDICAID 082623

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