DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL V BOURN, DO

Active Sole Proprietor

DR. MICHAEL V BOURN, DO is a 2083A0300X healthcare provider located in COLUMBUS, Ohio. NPI 1548292519 is currently active in the NPPES registry. Verify at CMS.

2083A0300X · COLUMBUS, OH

Registration Details

NPI Number
1548292519
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2006 (20.137353567023 yrs)
Last Updated
May 20, 2022
Licenses
34-00-4435-B (OH)
34.007735 (OH)
34.007735 (OH)
34.007735 (OH)
61-21847 (OH)
Sole Proprietor
Yes

Practice Information

Address
1161 BETHEL RD STE 203
COLUMBUS, OH, 432202773
Browse OH providers · Browse ZIP 43220
Phone
6144590350
Fax
6144560355
Primary Specialty
2083A0300X
2083A0300X
Additional Specialty
2083A0300X

Other 2083A0300X Providers in COLUMBUS, OH

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.