Bourgeois, Carly

Bourgeois, Carly is an individual health care provider with primary practice located at 6300 Main St , Zachary LA 70791-4037. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bourgeois, Carly can be contacted via phone (225) 765-7163.

Contact Information

Primary practice address
6300 Main St Zachary LA 70791-4037
Phone: (225) 765-7163
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 328269 Louisiana

Profile Details

NPI number 1154095479
LBN Legal business name Bourgeois, Carly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2021
Last updated Aug 2nd, 2021 - about 5 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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