Borsheim, Mark P
Borsheim, Mark P is an individual health care provider with primary practice located at 8181 Cornerstone Dr , Hayden ID 83835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Borsheim, Mark P can be contacted via phone (208) 772-0785.Contact Information
Primary practice address
8181 Cornerstone Dr
Hayden ID 83835
Phone: (208) 772-0785
Fax: (208) 762-2704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M6013 | Idaho |
Profile Details
| NPI number | 1396728135 |
|---|---|
| LBN Legal business name | Borsheim, Mark P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Aug 6th, 2008 - about 18 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 | 1396728135 | NPPES |
| Idaho | MEDICAID | 002705800 |
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