Borg, Julie

Borg, Julie is an individual health care provider with primary practice located at 800 Medical Center Dr , Fairmont MN 56031-4575. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Borg, Julie can be contacted via phone (507) 238-8555.

Contact Information

Primary practice address
800 Medical Center Dr Fairmont MN 56031-4575
Phone: (507) 238-8555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3849 Minnesota

Profile Details

NPI number 1992789515
LBN Legal business name Borg, Julie
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
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 1992789515 NPPES
Minnesota Other A030 CHAMPUS
Minnesota Other 287G4MC CHAMPUS
Minnesota Other 287G4MC CHAMPUS
Minnesota Other 7306 CHAMPUS
Minnesota Other 862667 CHAMPUS
Minnesota MEDICAID 121810 CHAMPUS
Minnesota Other MH9041010744 CHAMPUS
Minnesota Other HP28362 CHAMPUS

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