Borden, Miriam B.

Borden, Miriam B. is an individual health care provider with primary practice located at 1075 Nichols Rd , Osage Beach MO 65065-3093. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Borden, Miriam B. can be contacted via phone (573) 302-2828.

Contact Information

Primary practice address
1075 Nichols Rd Osage Beach MO 65065-3093
Phone: (573) 302-2828
Fax: (573) 302-2830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 2004015685 Missouri

Profile Details

NPI number 1518966571
LBN Legal business name Borden, Miriam B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Aug 17th, 2012 - about 13 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 1518966571 NPPES
Missouri Other P00173681 RAILROAD MEDICARE
Missouri MEDICAID 209210509 RAILROAD MEDICARE

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