Bourgeault, Brian

Bourgeault, Brian is an individual health care provider with primary practice located at 140 High St , Springfield MA 01199-1006. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bourgeault, Brian can be contacted via phone (413) 794-2511.

Contact Information

Primary practice address
140 High St Springfield MA 01199-1006
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2603 Massachusetts

Profile Details

NPI number 1962651604
LBN Legal business name Bourgeault, Brian
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2008
Last updated Mar 17th, 2011 - about 15 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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