Bourque, Wayne D
Bourque, Wayne D is an sole proprietor health care provider with primary practice located at 1 Va Ctr , Augusta ME 04330-6719. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bourque, Wayne D can be contacted via phone (207) 623-8411.Contact Information
Primary practice address
1 Va Ctr
Augusta ME 04330-6719
Phone: (207) 623-8411
Fax: (207) 621-4843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PH4865 | Maine |
| Pharmacy Service Providers / Pharmacist | 183500000X | 21756 | Massachusetts |
Profile Details
| NPI number | 1952558371 |
|---|---|
| LBN Legal business name | Bourque, Wayne D |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2008 |
| Last updated | Aug 27th, 2008 - about 18 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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