Borja, Jericho P

Borja, Jericho P is an sole proprietor health care provider with primary practice located at 1812 Saint Anselm Ln , Knoxville TN 37922-8565. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Borja, Jericho P can be contacted via phone (865) 766-5260.

Contact Information

Primary practice address
1812 Saint Anselm Ln Knoxville TN 37922-8565
Phone: (865) 766-5260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38752 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD0000038752 Tennessee

Profile Details

NPI number 1457355349
LBN Legal business name Borja, Jericho P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2005
Last updated May 30th, 2012 - 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 1457355349 NPPES
Tennessee MEDICAID 3897760
Tennessee Other 610401661
Tennessee Other 32312
Tennessee Other 156565
Tennessee Other 4091992

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