Bourgoyne, Blake Michael
Bourgoyne, Blake Michael is an individual health care provider with primary practice located at 3401 North Blvd Ste 100 , Baton Rouge LA 70806-3743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bourgoyne, Blake Michael can be contacted via phone (225) 381-2621.Contact Information
Primary practice address
3401 North Blvd Ste 100
Baton Rouge LA 70806-3743
Phone: (225) 381-2621
Fax: (225) 387-7829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 328464 | Louisiana |
Profile Details
| NPI number | 1306306717 |
|---|---|
| LBN Legal business name | Bourgoyne, Blake Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2019 |
| Last updated | Jun 22nd, 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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