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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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