Bordelon, Joseph Spencer

Bordelon, Joseph Spencer is an individual health care provider with primary practice located at 100 Park St Anesthesia Department, Glens Falls NY 12801-4413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bordelon, Joseph Spencer can be contacted via phone (518) 926-5127.

Contact Information

Primary practice address
100 Park St Anesthesia Department Glens Falls NY 12801-4413
Phone: (518) 926-5127
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X New York

Profile Details

NPI number 1679501449
LBN Legal business name Bordelon, Joseph Spencer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Nov 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679501449 NPPES
New York MEDICAID 02672686
New York Other P00276753

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