Corey C Bousquet, PA-C
Physician Assistant in Fairfield, Connecticut
1598717571- Practice location
- 1918 Black Rock Tpke, Fairfield, CT 06825-3543
- Phone
- 203-583-8400
- Fax
- —
- Last updated
- January 25, 2024
Corey Craig Bousquet is a Physician Assistant based in Fairfield, CT. Corey Craig Bousquet practices in Fairfield, CT and has the professional credentials of PA-C. The NPI Number for Corey Craig Bousquet is 1598717571 and holds a License No. PA9102466 (FL). The current practice location address for Corey Craig Bousquet is 1918 Black Rock Tpke, Fairfield, CT 06825-3543 and can be reached out via phone at 203-583-8400.
Provider Profile Details
- NPI Number
- 1598717571
- Provider Name
- Corey Craig Bousquet
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1918 Black Rock Tpke, Fairfield, CT 06825-3543
- Phone Number
- 203-583-8400
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 17, 2006
- Last Update Date
- January 25, 2024
- Certification Date
- January 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1918 Black Rock Tpke
Fairfield, CT 06825-3543 - City
- Fairfield
- State
- Connecticut
- Zip
- 06825-3543
- Phone Number
- 203-583-8400
Provider Business Mailing Address Details
- Address
- 45 Maler Ave
Shelton, CT 06484-5925 - City
- Shelton
- State
- CT
- Zip
- 06484-5925
- Phone Number
- 305-528-9800
License Information
- License Number (1)
- PA9102466
- License State (1)
- FL
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 2478
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Fairfield, CT
View all Physician Assistants in Fairfield →- Alyssa GagnonPhysician Assistant · NPI 1134919053
- Amy Cimminello, PA-CPhysician Assistant · NPI 1619244043
- Anthony MessinaPhysician Assistant · NPI 1194406983
- Brian ClancyPhysician Assistant · NPI 1083151898
- Bridget Instrum, PA-CPhysician Assistant · NPI 1194487348
- Eileen Dorney, PAPhysician Assistant · NPI 1083348940
Frequently Asked Questions
What is the NPI number of Corey C Bousquet, PA-C?
The NPI number of Corey C Bousquet, PA-C is 1598717571. It was assigned on May 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Corey C Bousquet, PA-C?
Corey C Bousquet, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in FL under license number PA9102466.
Where does Corey C Bousquet, PA-C practice?
The practice location is 1918 Black Rock Tpke, Fairfield, CT 06825-3543. The office can be reached at 203-583-8400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598717571 directly on the NPPES registry website.