Borgstadt, Daniel

Borgstadt, Daniel is an individual health care provider with primary practice located at 255 W Herndon Ave # 103 , Clovis CA 93612-0381. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Borgstadt, Daniel can be contacted via phone (559) 326-2999.

Contact Information

Primary practice address
255 W Herndon Ave # 103 Clovis CA 93612-0381
Phone: (559) 326-2999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G53110 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G53110 California

Profile Details

NPI number 1457332330
LBN Legal business name Borgstadt, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Mar 16th, 2021 - 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 1457332330 NPPES
California Other 77040368493612B009 CHAMPUS
California MEDICAID 00G531100 CHAMPUS
California Other 00G531100 CHAMPUS
California Other 110121877 CHAMPUS

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