Bormann, Nicholas Louis

Bormann, Nicholas Louis is an individual health care provider with primary practice located at 404 Fountain St , Albert Lea MN 56007-2406. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bormann, Nicholas Louis can be contacted via phone (507) 373-2384.

Contact Information

Primary practice address
404 Fountain St Albert Lea MN 56007-2406
Phone: (507) 373-2384
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X MD-47108 Iowa
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 73141 Minnesota

Profile Details

NPI number 1750879367
LBN Legal business name Bormann, Nicholas Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2018
Last updated Jun 28th, 2023 - about last year

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 1750879367 NPPES
Iowa MEDICAID 1750879367

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