Borgialli, Dominic A.

Borgialli, Dominic A. is an individual health care provider with primary practice located at 1 Hurley Plz , Flint MI 48503-5902. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Borgialli, Dominic A. can be contacted via phone (810) 257-9000.

Contact Information

Primary practice address
1 Hurley Plz Flint MI 48503-5902
Fax: (810) 760-0440
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101014158 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101014158 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5101014158 Michigan
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 5101014158 Michigan

Profile Details

NPI number 1336245547
LBN Legal business name Borgialli, Dominic A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated May 10th, 2024 - about 6 months 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 1336245547 NPPES
Michigan MEDICAID 4542329
Michigan Other 0B51090

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