Borgen, Joel Leon
Borgen, Joel Leon is an individual health care provider with primary practice located at 1969 N Lincoln Ave Apt G, Chicago IL 60614-5403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Borgen, Joel Leon can be contacted via phone (773) 899-0204.Contact Information
Primary practice address
1969 N Lincoln Ave Apt G
Chicago IL 60614-5403
Phone: (773) 899-0204
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 125051558 | Illinois |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | D70300 | Maryland |
Profile Details
NPI number | 1780849083 |
---|---|
LBN Legal business name | Borgen, Joel Leon |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2008 |
Last updated | Jul 15th, 2010 - about 14 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 | 1780849083 | NPPES |
Maryland | MEDICAID | 032652600 |
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