Borkowski, Jessica M

Borkowski, Jessica M is an individual health care provider with primary practice located at 336 N Main St , West Hartford CT 06117-2510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Borkowski, Jessica M can be contacted via phone (860) 232-4891.

Contact Information

Primary practice address
336 N Main St West Hartford CT 06117-2510
Fax: (860) 236-1016
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001558 Connecticut

Profile Details

NPI number 1639194863
LBN Legal business name Borkowski, Jessica M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Nov 26th, 2010 - about 15 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 1639194863 NPPES
Connecticut MEDICAID 1639194863
Connecticut Other 1639194863

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