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:
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Health care specialties

SpecialtyCodeLicense #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 8 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 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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