Bourgoyne, Debra Brown
Bourgoyne, Debra Brown is an individual health care provider with primary practice located at 535 W Roosevelt St , Baton Rouge LA 70802-7844. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Bourgoyne, Debra Brown can be contacted via phone (225) 343-4232.Contact Information
Primary practice address
535 W Roosevelt St
Baton Rouge LA 70802-7844
Phone: (225) 343-4232
Fax: (225) 343-4233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | Z10549 | Louisiana |
Profile Details
| NPI number | 1144426990 |
|---|---|
| LBN Legal business name | Bourgoyne, Debra Brown |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Jul 26th, 2013 - about 13 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 | 1144426990 | NPPES |
| Louisiana | MEDICAID | 1302546 |
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