Borowiecki, Mary Jo

Borowiecki, Mary Jo is an individual health care provider with primary practice located at 420 Mulberry St , Evansville IN 47713-1231. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Borowiecki, Mary Jo can be contacted via phone (812) 435-5807.

Contact Information

Primary practice address
420 Mulberry St Evansville IN 47713-1231
Fax: (812) 435-6342
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 6694126 Indiana

Profile Details

NPI number 1831757210
LBN Legal business name Borowiecki, Mary Jo
Credentials LIFE COACH
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2019
Last updated May 31st, 2019 - about 6 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 1831757210 NPPES
Indiana MEDICAID 100241710A
Indiana MEDICAID 100322900

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