Border, Michael W

Border, Michael W is an individual health care provider with primary practice located at 20 Southbridge Rd , Charlton MA 01507-5235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Border, Michael W can be contacted via phone (508) 765-9068.

Contact Information

Primary practice address
20 Southbridge Rd Charlton MA 01507-5235
Phone: (508) 765-9068
Fax: (508) 765-0249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 54489 Massachusetts

Profile Details

NPI number 1396795761
LBN Legal business name Border, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 14th, 2013 - about 11 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 1396795761 NPPES
Massachusetts MEDICAID 3099237
Massachusetts Other J13674

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