Borowicz, Mark Richard

Borowicz, Mark Richard is an individual health care provider with primary practice located at 845 82Nd Pkwy , Myrtle Beach SC 29572-4614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Borowicz, Mark Richard can be contacted via phone (843) 449-9621.

Contact Information

Primary practice address
845 82Nd Pkwy Myrtle Beach SC 29572-4614
Fax: (843) 449-4921
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 15665 South Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 15665 South Carolina

Profile Details

NPI number 1205810041
LBN Legal business name Borowicz, Mark Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Mar 22nd, 2010 - about 14 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 1205810041 NPPES
South Carolina MEDICAID 156654

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