Borst, Alicia R
Borst, Alicia R is an individual health care provider with primary practice located at 3960 W. Wainwright , Boise ID 83713. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Borst, Alicia R can be contacted via phone (208) 384-9023.Contact Information
Primary practice address
3960 W. Wainwright
Boise ID 83713
Phone: (208) 384-9023
Fax: (208) 388-1683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 787 | South Carolina |
Profile Details
| NPI number | 1780641530 |
|---|---|
| LBN Legal business name | Borst, Alicia R |
| Credentials | P.A.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Apr 3rd, 2013 - about 11 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 | 1780641530 | NPPES |
| South Carolina | MEDICAID | 0078PA |
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