Bourgeois, Daniel Joseph

Bourgeois, Daniel Joseph is an individual health care provider with primary practice located at 1120 Robert Blvd Ste 100 , Slidell LA 70458-2068. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Bourgeois, Daniel Joseph can be contacted via phone (985) 280-8868.

Contact Information

Primary practice address
1120 Robert Blvd Ste 100 Slidell LA 70458-2068
Phone: (985) 280-8868
Fax: (985) 280-6642
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD.304471 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1043568991
LBN Legal business name Bourgeois, Daniel Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2012
Last updated Dec 27th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043568991 NPPES
Louisiana MEDICAID 2437461

Popular Providers