Borkon, Matthew

Borkon, Matthew is an individual health care provider with primary practice located at 1880 Amherst St Ste 300 , Winchester VA 22601-2808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Borkon, Matthew can be contacted via phone (540) 536-6721.

Contact Information

Primary practice address
1880 Amherst St Ste 300 Winchester VA 22601-2808
Fax: (540) 536-6724
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 27458 West Virginia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 43806 Tennessee
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0101260275 Virginia

Profile Details

NPI number 1972650778
LBN Legal business name Borkon, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Mar 25th, 2022 - 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 1972650778 NPPES
Tennessee MEDICAID Q001232

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