Bornemann, Michael

Bornemann, Michael is an sole proprietor health care provider with primary practice located at 2228 Liliha St 202, Honolulu HI 96817-1650. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bornemann, Michael can be contacted via phone (808) 585-0741.

Contact Information

Primary practice address
2228 Liliha St 202 Honolulu HI 96817-1650
Phone: (808) 585-0741
Fax: (808) 585-0743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD8759 Hawaii

Profile Details

NPI number 1184622920
LBN Legal business name Bornemann, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Mar 16th, 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 1184622920 NPPES
Hawaii Other 53686 BCBS
Hawaii Other MD8759 BCBS
Hawaii MEDICAID 04724403 BCBS
Hawaii Other 53686 BCBS

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