Bourque, Kristen
Bourque, Kristen is an individual health care provider with primary practice located at 9115 Hague Rd , Indianapolis IN 46256-1025. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bourque, Kristen can be contacted via phone (317) 521-2000.Contact Information
Primary practice address
9115 Hague Rd
Indianapolis IN 46256-1025
Phone: (317) 521-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 32149DI-0 | Nevada |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 164.007743 | Illinois |
Profile Details
| NPI number | 1881083699 |
|---|---|
| LBN Legal business name | Bourque, Kristen |
| Credentials | RD, LD, CLC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2015 |
| Last updated | Dec 15th, 2021 - about 5 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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