Boran, David
Boran, David is an individual health care provider with primary practice located at 2024 S 6Th St , Brainerd MN 56401-4529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boran, David can be contacted via phone (218) 825-7100.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22334 | Minnesota |
Profile Details
NPI number | 1184602328 |
---|---|
LBN Legal business name | Boran, David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 6th, 2006 |
Last updated | Jan 7th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184602328 | NPPES |
Minnesota | MEDICAID | 881283700 |
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