Borromeo, Michael Anthony P
Borromeo, Michael Anthony P is an individual health care provider with primary practice located at Highway 1 Ihs Box 165, Red Lake MN 56671-0165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Borromeo, Michael Anthony P can be contacted via phone (218) 679-3912.Contact Information
Primary practice address
Highway 1 Ihs Box 165
Red Lake MN 56671-0165
Phone: (218) 679-3912
Fax: (218) 679-0181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 43108 | Minnesota |
Profile Details
| NPI number | 1063447605 |
|---|---|
| LBN Legal business name | Borromeo, Michael Anthony P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Nov 7th, 2016 - about 9 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 | 1063447605 | NPPES |
| Minnesota | Other | 34G20BO | BC/BS OF MN |
| Minnesota | Other | HSZ009 | BC/BS OF MN |
| Minnesota | Other | HSZ011 | BC/BS OF MN |
| Minnesota | MEDICAID | 510010100 | BC/BS OF MN |
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