Bourque, Jason

Bourque, Jason is an individual health care provider with primary practice located at 120 Rue Louis Xiv , Lafayette LA 70508-5739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bourque, Jason can be contacted via phone (337) 769-7779.

Contact Information

Primary practice address
120 Rue Louis Xiv Lafayette LA 70508-5739
Phone: (337) 769-7779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 10033777 Texas
Allopathic & Osteopathic Physicians / Urology 208800000X Q3854 Texas
Allopathic & Osteopathic Physicians / Urology 208800000X 307858 Louisiana

Profile Details

NPI number 1205060175
LBN Legal business name Bourque, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2009
Last updated Mar 17th, 2018 - about 7 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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