Borgstrom, David C

Borgstrom, David C is an individual health care provider with primary practice located at 1 Medical Center Dr , Morgantown WV 26506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Borgstrom, David C can be contacted via phone (304) 598-4800.

Contact Information

Primary practice address
1 Medical Center Dr Morgantown WV 26506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 223363 New York
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 223363 New York
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 26259 West Virginia

Profile Details

NPI number 1518921758
LBN Legal business name Borgstrom, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Apr 15th, 2022 - about 2 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 1518921758 NPPES
New York MEDICAID 02216493

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