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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1679501449 | NPPES |
| New York | MEDICAID | 02672686 | |
| New York | Other | P00276753 |
Popular Providers
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Shultes, Philip
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Hughes, Thomas
2 Broad Street Plz , Glens Falls NY 12801-4363