Winston Bourne is a Professional in Detroit, Michigan. Winston Bourne practices all healthcare services and medical treatments related to Professional. The NPI Number for Winston Bourne is 1639277015. The last update date is 2014-08-07.
Winston Bourne's current location address is 11457 Shoemaker St, Detroit, Michigan. You can contact this provider via phone number 3139613700 and fax number 3139613769. The mailing address for Winston Bourne is 11457 Shoemaker St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Winston Bourne |
|---|---|
| Address | 11457 Shoemaker St, Detroit, Michigan |
| Phone Number | 3139613700 |
| Fax Number | 3139613769 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1639277015 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2014-08-07 |
Provider Mailing Address Detail
| Address | 11457 Shoemaker St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482133418 |
| Phone Number | 3139613700 |
| Fax Number | 3139613769 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 6401008093 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6401008093 | MI | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Winston Bourne by the Centers for Medicare & Medicaid Services?
The Winston Bourne has been issued the NPI (National Provider Identifier) 1639277015. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Winston Bourne is located?
The Winston Bourne is situated at the following address: 11457 Shoemaker St, Detroit, MI, 482133418.
What is Winston Bourne's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Winston Bourne is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639277015 to Winston Bourne?
The Centers for Medicare & Medicaid Services originally issued the 1639277015 to Winston Bourne on 2006-09-20.
As of what date were the details related to Winston Bourne most recently updated or revised?
The information pertaining to Winston Bourne, including its address, specialty, and other relevant details, was last updated or revised on 2014-08-07.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY