Bornfreund, Jonathan D

Bornfreund, Jonathan D is an individual health care provider with primary practice located at 106 Lansford Ct. Suite 100, Myrtle Beach SC 29588. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bornfreund, Jonathan D can be contacted via phone (843) 293-8850.

Contact Information

Primary practice address
106 Lansford Ct. Suite 100 Myrtle Beach SC 29588
Fax: (843) 293-8860
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0708 South Carolina

Profile Details

NPI number 1689634289
LBN Legal business name Bornfreund, Jonathan D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Sep 9th, 2008 - about 16 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 1689634289 NPPES
South Carolina Other 153867800 DEPARTMENT OF LABOR
South Carolina Other 193683 DEPARTMENT OF LABOR
South Carolina Other 7198502 DEPARTMENT OF LABOR
South Carolina Other P00057006 DEPARTMENT OF LABOR

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