Bordwell, Martha

Bordwell, Martha is an individual health care provider with primary practice located at 5615 Brooklyn Blvd Suite 105, Brooklyn Center MN 55429-3000. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bordwell, Martha can be contacted via phone (763) 531-0566.

Contact Information

Primary practice address
5615 Brooklyn Blvd Suite 105 Brooklyn Center MN 55429-3000
Phone: (763) 531-0566
Fax: (763) 531-0602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LP2322 Minnesota

Profile Details

NPI number 1821169962
LBN Legal business name Bordwell, Martha
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2006
Last updated Sep 2nd, 2008 - about 16 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 1821169962 NPPES
Minnesota Other 68831BO BLUECROSSBLUESHIELD
Minnesota MEDICAID 993552500 BLUECROSSBLUESHIELD
Minnesota Other 61-20302 BLUECROSSBLUESHIELD
Minnesota Other 102392 BLUECROSSBLUESHIELD
Minnesota Other HP35967 BLUECROSSBLUESHIELD

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