Borgquist, James Bleak

Borgquist, James Bleak is an individual health care provider with primary practice located at 7921 Professional Cir , Huntington Beach CA 92648-1901. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as his primary health care specialty. Borgquist, James Bleak can be contacted via phone (714) 847-8751.

Contact Information

Primary practice address
7921 Professional Cir Huntington Beach CA 92648-1901
Phone: (714) 847-8751
Fax: (714) 847-8913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X CP2925 California

Profile Details

NPI number 1467469114
LBN Legal business name Borgquist, James Bleak
Credentials Certified Psychologist (CP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Apr 5th, 2013 - about 12 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 1467469114 NPPES
California Other 5441790001 PTAN
California Other XB0029250 PTAN
California Other ZZZ64903Z PTAN

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