Bordner, Michael D

Bordner, Michael D is an individual health care provider with primary practice located at 916 Koala Ave , Omak WA 98841-9576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bordner, Michael D can be contacted via phone (509) 826-1800.

Contact Information

Primary practice address
916 Koala Ave Omak WA 98841-9576
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00024881 Washington

Profile Details

NPI number 1437194057
LBN Legal business name Bordner, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated May 7th, 2014 - about 10 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 1437194057 NPPES
Washington Other 74319 L&I
Washington Other P01287747 L&I
Washington MEDICAID 1437194057 L&I
Washington Other 314740 L&I

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