Borrelli, Mimi Rosealie
Borrelli, Mimi Rosealie is an sole proprietor health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Borrelli, Mimi Rosealie can be contacted via phone (650) 283-8746.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | LP05003 | Rhode Island |
Profile Details
| NPI number | 1649894924 |
|---|---|
| LBN Legal business name | Borrelli, Mimi Rosealie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2020 |
| Last updated | Jun 3rd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649894924 | NPPES |
| Other | 219-177-128 | GREEN CARD | |
| Other | LP05003 | GREEN CARD |
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