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Contact Information

KATIE BOURBONNAIS, M.S, ATC, LAT, CSCS
SAINT MARY'S COLLEGE
ANGELA ATHLETIC FACILITY
NOTRE DAME, IN46556
 Phone: 574-284-4006
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for KATIE BOURBONNAIS · (Female)

NPI Number 1255736849
Status Active
Credentials M.S, ATC, LAT, CSCS
Entity Individual
Enumeration date 10/26/2014
Last updated 12/04/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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