Borkan, Jeffrey M
Borkan, Jeffrey M is an individual health care provider with primary practice located at 111 Brewster St Family Care Center, Pawtucket RI 02860-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Borkan, Jeffrey M can be contacted via phone (401) 729-2769.Contact Information
Primary practice address
111 Brewster St Family Care Center
Pawtucket RI 02860-4400
Phone: (401) 729-2769
Fax: (401) 729-2772
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD10711 | Rhode Island |
Profile Details
NPI number | 1154304996 |
---|---|
LBN Legal business name | Borkan, Jeffrey M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 25th, 2005 |
Last updated | Apr 2nd, 2021 - about 3 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 | 1154304996 | NPPES |
Rhode Island | MEDICAID | 9023639 |
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