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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457355349 | NPPES |
| Tennessee | MEDICAID | 3897760 | |
| Tennessee | Other | 610401661 | |
| Tennessee | Other | 32312 | |
| Tennessee | Other | 156565 | |
| Tennessee | Other | 4091992 |
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