Bordenkecher, Courtney Davis

Bordenkecher, Courtney Davis is an individual health care provider with primary practice located at 135 Express Lane , Orangeburg SC 29118-9501. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Bordenkecher, Courtney Davis can be contacted via phone (803) 536-2100.

Contact Information

Primary practice address
135 Express Lane Orangeburg SC 29118-9501
Phone: (803) 536-2100
Fax: (803) 536-4399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD000965 Georgia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 621 South Carolina

Profile Details

NPI number 1396734117
LBN Legal business name Bordenkecher, Courtney Davis
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Feb 5th, 2016 - about 8 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 1396734117 NPPES
Georgia MEDICAID 086562158
Georgia MEDICAID 086562158A

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