Bordenave-Bishop, Susan B
Bordenave-Bishop, Susan B is an sole proprietor health care provider with primary practice located at 2116 N. Sheridan , Peoria IL 61604. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bordenave-Bishop, Susan B can be contacted via phone (309) 679-6140.Contact Information
Primary practice address
2116 N. Sheridan
Peoria IL 61604
Phone: (309) 679-6140
Fax: (309) 679-6139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Illinois |
Profile Details
| NPI number | 1568586386 |
|---|---|
| LBN Legal business name | Bordenave-Bishop, Susan B |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 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.
Popular Providers
-
Craig, Megan
809 W Detweiller Dr Suite 805A, Peoria IL 61615-2149 -
Rice, Lori Anne Pollard
838 W Glen Ave , Peoria IL 61614-4835 -
Wynn, Robert M.
4517 N Rockwood Dr , Peoria IL 61615-3841 -
Ehrich, Robert R.
809 W Detweiller Dr Suite 805A, Peoria IL 61615-2149 -
Frost, James R.
2001 W Willow Knolls Dr Suite #204, Peoria IL 61614-1290 -
Hickman, Leland
809 W Detweiller Dr Suite 805A, Peoria IL 61615-2149 -
Otte, Larry D
2807 N Knoxville Ave , Peoria IL 61604-2869 -
Moon, Richard T
6712 N Mountello Dr , Peoria IL 61614-2328