Falgout, Amie Bourgeois

Falgout, Amie Bourgeois is an individual health care provider with primary practice located at 843 Milling Ave , Luling LA 70070-4442. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Falgout, Amie Bourgeois can be contacted via phone (985) 785-5800.

Contact Information

Primary practice address
843 Milling Ave Luling LA 70070-4442
Phone: (985) 785-5800
Fax: (985) 785-5811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN078261-AP05915 Louisiana

Profile Details

NPI number 1750528634
LBN Legal business name Falgout, Amie Bourgeois
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2009
Last updated Jul 26th, 2010 - about 16 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 1750528634 NPPES
Louisiana MEDICAID 2110551

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