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
Fax: (401) 729-2772
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154304996 NPPES
Rhode Island MEDICAID 9023639

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