Borne, Michael Jude

Borne, Michael Jude is an individual health care provider with primary practice located at 1200 N State St Suite 300, Jackson MS 39202-2001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Borne, Michael Jude can be contacted via phone (601) 981-4091.

Contact Information

Primary practice address
1200 N State St Suite 300 Jackson MS 39202-2001
Phone: (601) 981-4091
Fax: (601) 981-5039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 12475 Mississippi
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 12475 Mississippi

Profile Details

NPI number 1588750178
LBN Legal business name Borne, Michael Jude
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 14th, 2017 - about 8 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 1588750178 NPPES
Mississippi MEDICAID 0114935
Mississippi Other 180021390

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