Bors-Koefoed, Roy

Bors-Koefoed, Roy is an individual health care provider with primary practice located at 6266 Poplar Ave , Memphis TN 38119-4713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Bors-Koefoed, Roy can be contacted via phone (901) 682-2595.

Contact Information

Primary practice address
6266 Poplar Ave Memphis TN 38119-4713
Phone: (901) 682-2595
Fax: (901) 682-2549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 35990 Tennessee

Profile Details

NPI number 1871505438
LBN Legal business name Bors-Koefoed, Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Dec 12th, 2011 - about 14 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 1871505438 NPPES
Tennessee Other 154425331 TRICARE
Tennessee Other 99201 TRICARE
Tennessee Other 4451436 TRICARE
Tennessee MEDICAID 156721001 TRICARE
Tennessee MEDICAID 3871735 TRICARE
Tennessee Other 4315297 TRICARE
Tennessee MEDICAID 00125606 TRICARE
Tennessee Other 4067158 TRICARE

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