Boornazian, Michele Lee

Boornazian, Michele Lee is an individual health care provider with primary practice located at 1098 W Baltimore Pike Suite 3101 Outpatient Pavilion, Media PA 19063-5139. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Boornazian, Michele Lee can be contacted via phone (610) 891-9277.

Contact Information

Primary practice address
1098 W Baltimore Pike Suite 3101 Outpatient Pavilion Media PA 19063-5139
Phone: (610) 891-9277
Fax: (610) 891-7778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X OS010304L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS-010304-L Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS010304L Pennsylvania

Profile Details

NPI number 1245207224
LBN Legal business name Boornazian, Michele Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated May 2nd, 2024 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245207224 NPPES
Pennsylvania MEDICAID 0018982740001

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