Bormann, Joel A

Bormann, Joel A is an individual health care provider with primary practice located at 1222 E Woodland Ave , Barron WI 54812-1765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bormann, Joel A can be contacted via phone (715) 838-5222.

Contact Information

Primary practice address
1222 E Woodland Ave Barron WI 54812-1765
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25546 Wisconsin

Profile Details

NPI number 1427015635
LBN Legal business name Bormann, Joel A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Mar 31st, 2009 - 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 1427015635 NPPES
Wisconsin MEDICAID 30020500

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