Borden, Denise Louise

Borden, Denise Louise is an individual health care provider with primary practice located at 417 N 11Th St Box 980447, Richmond VA 23298-0447. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Borden, Denise Louise can be contacted via phone (804) 828-8786.

Contact Information

Primary practice address
417 N 11Th St Box 980447 Richmond VA 23298-0447
Fax: (804) 828-5466
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101035412 Virginia

Profile Details

NPI number 1982601522
LBN Legal business name Borden, Denise Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982601522 NPPES
Virginia Other 322108 INDIVIDUAL BLUE SHIELD ID
Virginia MEDICAID 005863902 INDIVIDUAL BLUE SHIELD ID
Virginia Other 110228061 INDIVIDUAL BLUE SHIELD ID

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