Borders, Bryan

Borders, Bryan is an individual health care provider with primary practice located at 546 Hunters Gln , Madisonville KY 42431-8688. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Borders, Bryan can be contacted via phone (270) 824-9630.

Contact Information

Primary practice address
546 Hunters Gln Madisonville KY 42431-8688
Phone: (270) 824-9630
Fax: (270) 824-9630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 1005409168 Kentucky

Profile Details

NPI number 1427198639
LBN Legal business name Borders, Bryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 9th, 2007 - about 18 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 1427198639 NPPES
Kentucky Other 000000111564 ANTHEM BLUE CROSS
Kentucky MEDICAID 86054012 ANTHEM BLUE CROSS

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