Borak, Elliot Howard

Borak, Elliot Howard is an sole proprietor health care provider with primary practice located at 3719 Dauphin St Ste 5A, Mobile AL 36608-1753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Borak, Elliot Howard can be contacted via phone (251) 414-5900.

Contact Information

Primary practice address
3719 Dauphin St Ste 5A Mobile AL 36608-1753
Phone: (251) 414-5900
Fax: (251) 342-3842
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 00007758 Alabama

Profile Details

NPI number 1265430235
LBN Legal business name Borak, Elliot Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Nov 7th, 2011 - about 14 years 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 1265430235 NPPES
Alabama MEDICAID 009932925
Alabama Other 2910053
Alabama Other 051517337

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