Jerry Joseph Bourassa in Prescott - Specialist
Jerry Joseph Bourassa - NPI 1376721779
Jerry Joseph Bourassa is a Specialist in Prescott, Arizona. Jerry Joseph Bourassa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jerry Joseph Bourassa is 1376721779. The last update date is 2008-02-07.
Jerry Joseph Bourassa's current location address is 146 S Granite St, Prescott, Arizona. You can contact this provider via phone number 9287173236. The mailing address for Jerry Joseph Bourassa is 146 S Granite St, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Joseph Bourassa |
|---|---|
| Address | 146 S Granite St, Prescott, Arizona |
| Phone Number | 9287173236 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHYSICAL T |
NPI Number Detail
| NPI Number | 1376721779 |
|---|---|
| Provider Enumeration Date | 2008-02-07 |
| Last Updated Date | 2008-02-07 |
Provider Mailing Address Detail
| Address | 146 S Granite St |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863034710 |
| Phone Number | 9287173236 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1370 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerry Joseph Bourassa by the Centers for Medicare & Medicaid Services?
The Jerry Joseph Bourassa has been issued the NPI (National Provider Identifier) 1376721779 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jerry Joseph Bourassa is located?
The Jerry Joseph Bourassa is situated at the following address: 146 S Granite St, Prescott, AZ, 863034710.
What is the Jerry Joseph Bourassa's area of specialization and corresponding taxonomy classification?
The Jerry Joseph Bourassa's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1376721779 to Jerry Joseph Bourassa?
The Jerry Joseph Bourassa received its 1376721779 assignment from the Centers for Medicare & Medicaid Services on 2008-02-07.
When was the information regarding Jerry Joseph Bourassa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerry Joseph Bourassa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-07.
NPI Number: 1518960319
Address: 1655 Palm Beach Lakes Blvd Ste 300, West Palm Beach, FL
NPI Number: 1437152154
Address: One Reads Way, New Castle, DE
NPI Number: 1841293438
Address: One Reads Way, New Castle, DE
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA