Borderieux, Jessica D
Borderieux, Jessica D is an sole proprietor health care provider with primary practice located at 606 E Marshall St Ste 107 , West Chester PA 19380-4440. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Borderieux, Jessica D can be contacted via phone (610) 439-8440.Contact Information
Primary practice address
606 E Marshall St Ste 107
West Chester PA 19380-4440
Phone: (610) 439-8440
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9102515 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C50000622 | Delaware |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA052540 | Pennsylvania |
Profile Details
NPI number | 1407845654 |
---|---|
LBN Legal business name | Borderieux, Jessica D |
Credentials | PA C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 20th, 2005 |
Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407845654 | NPPES |
Florida | MEDICAID | 291743200 | |
Florida | MEDICAID | 268544200 |
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