Bordak, Glen
Bordak, Glen is an individual health care provider with primary practice located at 3801 Spring St , Racine WI 53405-1667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bordak, Glen can be contacted via phone (262) 687-4100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 27568-020 | Wisconsin |
Profile Details
| NPI number | 1588683718 |
|---|---|
| LBN Legal business name | Bordak, Glen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1588683718 | NPPES |
| Wisconsin | MEDICAID | 31564100 |
Popular Providers
-
Resen, David E
8619 Edgewater Rdg , Omro WI 54963-9760 -
Tulecke, Mark A
1 Hampton Rd Unit 208, Exeter NH 03833-4849 -
Swiger, Frederick Karl
311 W 8Th St Ne , Rome GA 30165-2723 -
Hom, Steven G
311 W 8Th St Ne , Rome GA 30165-2723 -
Allen, Lori
3801 Spring St , Racine WI 53405-1667 -
Lorsbach, Robert B
3333 Burnet Ave Ml 1010, Cincinnati OH 45229-3026 -
Sonnier, George B
310 E Broadway Ste 200, Louisville KY 40202-1745 -
Chand, Eric M
1499 Fair Rd , Statesboro GA 30458-1683