Bourque, Daniel R

Bourque, Daniel R is an individual health care provider with primary practice located at 435 Heymann Blvd , Lafayette LA 70503-2616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bourque, Daniel R can be contacted via phone (337) 234-3344.

Contact Information

Primary practice address
435 Heymann Blvd Lafayette LA 70503-2616
Phone: (337) 234-3344
Fax: (337) 234-3352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 016161 Louisiana

Profile Details

NPI number 1952393084
LBN Legal business name Bourque, Daniel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952393084 NPPES
Louisiana Other 1952383084 INDIVIDUAL NPI
Louisiana Other 1659688489 INDIVIDUAL NPI
Louisiana MEDICAID 1345580 INDIVIDUAL NPI
Louisiana Other 5L938DQ00 INDIVIDUAL NPI
Louisiana Other 5DQ00 INDIVIDUAL NPI

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