Bourne, Matt

Bourne, Matt is an individual health care provider with primary practice located at 4700 N Hanley Rd , Berkeley MO 63134-2700. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bourne, Matt can be contacted via phone (314) 475-6000.

Contact Information

Primary practice address
4700 N Hanley Rd Berkeley MO 63134-2700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 044513 Missouri

Profile Details

NPI number 1982118881
LBN Legal business name Bourne, Matt
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2017
Last updated Nov 30th, 2017 - about 9 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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