Borden, Jason

Borden, Jason is an sole proprietor health care provider with primary practice located at 1909 Commerce Ave , Cullman AL 35055-6151. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Borden, Jason can be contacted via phone (256) 734-4688.

Contact Information

Primary practice address
1909 Commerce Ave Cullman AL 35055-6151
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1306233184
LBN Legal business name Borden, Jason
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2015
Last updated Apr 20th, 2015 - about 10 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 1306233184 NPPES
Alabama MEDICAID 330000025

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