Borgen, Bradley James

Borgen, Bradley James is an individual health care provider with primary practice located at 2105 E Enterprise Ave Ste 111, Appleton WI 54913. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Borgen, Bradley James can be contacted via phone (920) 731-6611.

Contact Information

Primary practice address
2105 E Enterprise Ave Ste 111 Appleton WI 54913
Phone: (920) 731-6611
Fax: (920) 731-6732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2379 Wisconsin

Profile Details

NPI number 1255383006
LBN Legal business name Borgen, Bradley James
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 9th, 2020 - about 4 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 1255383006 NPPES
Wisconsin MEDICAID 41186200

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