Tiffany Nicole Bourget in Georgetown - Contractor
Tiffany Nicole Bourget - NPI 1740460302
Tiffany Nicole Bourget is a Contractor in Georgetown, Kentucky. Tiffany Nicole Bourget practices all healthcare services and medical treatments related to Contractor. The NPI Number for Tiffany Nicole Bourget is 1740460302. The last update date is 2007-11-11.
Tiffany Nicole Bourget's current location address is 306 Concord Ct, Georgetown, Kentucky. You can contact this provider via phone number 8595762973. The mailing address for Tiffany Nicole Bourget is 306 Concord Ct, Georgetown, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tiffany Nicole Bourget |
|---|---|
| Address | 306 Concord Ct, Georgetown, Kentucky |
| Phone Number | 8595762973 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1740460302 |
|---|---|
| Provider Enumeration Date | 2007-11-11 |
| Last Updated Date | 2007-11-11 |
Provider Mailing Address Detail
| Address | 306 Concord Ct |
|---|---|
| City | Georgetown |
| State | Kentucky (KY) |
| Post Code | 403241404 |
| Phone Number | 8595762973 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
| Licence No | KY-R3242 |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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What is the unique identification code assigned to Tiffany Nicole Bourget by the Centers for Medicare & Medicaid Services?
The Tiffany Nicole Bourget has been issued the NPI (National Provider Identifier) 1740460302. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tiffany Nicole Bourget's facilities are situated?
The facilities of Tiffany Nicole Bourget are physically located at the following address: 306 Concord Ct, Georgetown, KY, 403241404.
What is Tiffany Nicole Bourget's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tiffany Nicole Bourget is Contractor, and the taxonomy code that categorizes this field of expertise is 171W00000X.
On what date did Tiffany Nicole Bourget receive its 1740460302 assignment from the Centers for Medicare & Medicaid Services?
The Tiffany Nicole Bourget was assigned its 1740460302 on 2007-11-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Tiffany Nicole Bourget's details last updated?
The information pertaining to the Tiffany Nicole Bourget, including its address, specialty, and other details, was most recently updated on 2007-11-11.
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