Borman, Jacqueline M
Borman, Jacqueline M is an individual health care provider with primary practice located at 370 E Maple Ave Suite 103, Langhorne PA 19047-2859. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Borman, Jacqueline M can be contacted via phone (215) 752-4553.Contact Information
Primary practice address
370 E Maple Ave Suite 103
Langhorne PA 19047-2859
Phone: (215) 752-4553
Fax: (215) 752-0703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT016952 | Pennsylvania |
Profile Details
| NPI number | 1184667297 |
|---|---|
| LBN Legal business name | Borman, Jacqueline M |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Apr 27th, 2011 - about 14 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 | 1184667297 | NPPES |
| Pennsylvania | Other | 2292512000 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 0053616 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 001614655 | INDEPENDENCE BLUE CROSS |
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