Borden, Dylan James

Borden, Dylan James is an sole proprietor health care provider with primary practice located at 9040 Jackson Ave , Tacoma WA 98431-1652. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Borden, Dylan James can be contacted via phone (253) 968-1110.

Contact Information

Primary practice address
9040 Jackson Ave Tacoma WA 98431-1652
Fax:
Website:

Health care specialties

Profile Details

NPI number 1215377643
LBN Legal business name Borden, Dylan James
Credentials MS, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2013
Last updated Oct 31st, 2023 - about last year

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 1215377643 NPPES
Oregon Other 153237 ATHLETIC TRAINER

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