Bourg, Susan
Bourg, Susan is an individual health care provider with primary practice located at 248 E Glenn Ave , Auburn AL 36830-4818. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bourg, Susan can be contacted via phone (334) 821-3350.Contact Information
Primary practice address
248 E Glenn Ave
Auburn AL 36830-4818
Phone: (334) 821-3350
Fax: (334) 821-3252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1166 | Alabama |
Profile Details
| NPI number | 1851499925 |
|---|---|
| LBN Legal business name | Bourg, Susan |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1851499925 | NPPES |
| Alabama | Other | 51509821 | BCBS |
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