Born, Robert J

Born, Robert J is an individual health care provider with primary practice located at 1802 S. Mattis Avenue Orthopedics, Champaign IL 61821. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Born, Robert J can be contacted via phone (217) 383-7676.

Contact Information

Primary practice address
1802 S. Mattis Avenue Orthopedics Champaign IL 61821
Phone: (217) 383-7676
Fax: (217) 383-4910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016-003180 Illinois

Profile Details

NPI number 1134170590
LBN Legal business name Born, Robert J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Nov 21st, 2013 - about 11 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 1134170590 NPPES
Illinois MEDICAID 016-003180
Illinois Other 0533210001

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