Bourne, Victoria
Bourne, Victoria is an sole proprietor health care provider with primary practice located at 108 1/2 Spruce St , Bluefield VA 24605-1738. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bourne, Victoria can be contacted via phone (276) 322-5511.Contact Information
Primary practice address
108 1/2 Spruce St
Bluefield VA 24605-1738
Phone: (276) 322-5511
Fax: (276) 322-2525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP-0038 | West Virginia |
Profile Details
| NPI number | 1720258338 |
|---|---|
| LBN Legal business name | Bourne, Victoria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2008 |
| Last updated | Apr 9th, 2020 - about 6 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 | 1720258338 | NPPES |
| West Virginia | MEDICAID | 0154598000 |
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