Borromeo, Raul

Borromeo, Raul is an individual health care provider with primary practice located at 21601 76Th Ave W , Edmonds WA 98026-7507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Borromeo, Raul can be contacted via phone (425) 640-4100.

Contact Information

Primary practice address
21601 76Th Ave W Edmonds WA 98026-7507
Phone: (425) 640-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 000-33680 Washington

Profile Details

NPI number 1104863455
LBN Legal business name Borromeo, Raul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 22nd, 2011 - about 13 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 1104863455 NPPES
Other A010 CHAMPUS
MEDICAID 1098771 CHAMPUS
Other 168559 CHAMPUS
Other 910861251 CHAMPUS
Other G30910 CHAMPUS
Other BO0099 CHAMPUS

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