Asan Borja, Bianca Mercedes
Asan Borja, Bianca Mercedes is an individual health care provider with primary practice located at 3100 Shore Dr , Marinette WI 54143-4242. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Asan Borja, Bianca Mercedes can be contacted via phone (715) 735-4200.Contact Information
Primary practice address
3100 Shore Dr
Marinette WI 54143-4242
Phone: (715) 735-4200
Fax: (865) 292-3015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | T5514 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 66962-20 | Wyoming |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1306258728 |
|---|---|
| LBN Legal business name | Asan Borja, Bianca Mercedes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2014 |
| Last updated | Mar 12th, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306258728 | NPPES |
| Wisconsin | MEDICAID | 1306258728 |
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