DAVID C BOURQUE, PA-C, Surgical CHARLESTON, SC

Contact Information

DAVID C BOURQUE, PA-C

2093 HENRY TECKLENBURG DR STE 200E
CHARLESTON, SC 29414-5742

Phone: 843-958-2500
Fax: 843-958-2680
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for DAVID C BOURQUE · (Male)

NPI #	`1578118170`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	08/09/2019
Last updated	02/26/2025 - More than a year ago
Sole proprietor ¹	No
Identifiers	SC License # 3492 SC Medicaid 4170PA SC Other 3492 SC LICENSE
Hospital affiliation(s)	BON SECOURS-ST FRANCIS XAVIER HOSPITAL - (Acute Care) 2095 HENRY TECKLENBURG DRIVE CHARLESTON, SC 29414

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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DAVID C BOURQUE, PA-C – NPI #1578118170Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for DAVID C BOURQUE · (Male)

Reviews for DAVID C BOURQUE

DAVID C BOURQUE, PA-C – NPI #1578118170
Surgical