Bordon, Jessica Dawn
Bordon, Jessica Dawn is an sole proprietor health care provider with primary practice located at 598 N Union Ave Ste 350 , New Braunfels TX 78130-4196. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Bordon, Jessica Dawn can be contacted via phone (830) 500-3034.Contact Information
Primary practice address
598 N Union Ave Ste 350
New Braunfels TX 78130-4196
Phone: (830) 500-3034
Fax: (830) 515-1712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1955 | Texas |
Profile Details
| NPI number | 1558514026 |
|---|---|
| LBN Legal business name | Bordon, Jessica Dawn |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2008 |
| Last updated | Mar 15th, 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 | 1558514026 | NPPES |
| Arizona | MEDICAID | 434272 | |
| Arizona | Other | 8FC829 | |
| Arizona | MEDICAID | PENDING |
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