Borkum, Jonathan M

Borkum, Jonathan M is an individual health care provider with primary practice located at 2 Big Sky Ln , Waterville ME 04901-4340. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Borkum, Jonathan M can be contacted via phone (207) 872-5800.

Contact Information

Primary practice address
2 Big Sky Ln Waterville ME 04901-4340
Phone: (207) 872-5800
Fax: (207) 872-5888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X PS991 Maine

Profile Details

NPI number 1881709426
LBN Legal business name Borkum, Jonathan M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated May 6th, 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 1881709426 NPPES
Maine MEDICAID 295420099
Maine Other MM9086

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