Borgen, Christopher J
Borgen, Christopher J is an individual health care provider with primary practice located at 1720 Hwy 59 Se Suite 1 Box 505, Thief River Falls MN 56701. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Borgen, Christopher J can be contacted via phone (218) 681-3300.Contact Information
Primary practice address
1720 Hwy 59 Se Suite 1 Box 505
Thief River Falls MN 56701
Phone: (218) 681-3300
Fax: (218) 681-6733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2803 | Minnesota |
Profile Details
| NPI number | 1124045737 |
|---|---|
| LBN Legal business name | Borgen, Christopher J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jun 1st, 2011 - about 13 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 | 1124045737 | NPPES |
| Minnesota | MEDICAID | 388602600 | |
| Minnesota | Other | 644201030551 | |
| Minnesota | Other | 2202123 | |
| Minnesota | Other | 4687980 |
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