Bormann, Jay Harvey

Bormann, Jay Harvey is an individual health care provider with primary practice located at 4522 Maplecrest Rd , Fort Wayne IN 46835-3970. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bormann, Jay Harvey can be contacted via phone (260) 485-9628.

Contact Information

Primary practice address
4522 Maplecrest Rd Fort Wayne IN 46835-3970
Phone: (260) 485-9628
Fax: (260) 485-3993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 26016180A Indiana

Profile Details

NPI number 1962620591
LBN Legal business name Bormann, Jay Harvey
Credentials RPH.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 17 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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