Borgwardt, Brad M

Borgwardt, Brad M is an individual health care provider with primary practice located at 915 13Th Ave N , Clinton IA 52732-5067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Borgwardt, Brad M can be contacted via phone (563) 243-2511.

Contact Information

Primary practice address
915 13Th Ave N Clinton IA 52732-5067
Phone: (563) 243-2511
Fax: (563) 243-0817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 24094 Iowa

Profile Details

NPI number 1285682963
LBN Legal business name Borgwardt, Brad M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Mar 15th, 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 1285682963 NPPES
Other 018390 HEALTH ALLIANCE
Other 18975 HEALTH ALLIANCE
MEDICAID 0217380 HEALTH ALLIANCE
Other 09822166 HEALTH ALLIANCE
Other 27209 HEALTH ALLIANCE
Other 20306 HEALTH ALLIANCE
Other E14405 HEALTH ALLIANCE

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