Borstad, Gregory Clark
Borstad, Gregory Clark is an individual health care provider with primary practice located at 1710 S 17Th St , Wilmington NC 28401-6442. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Borstad, Gregory Clark can be contacted via phone (910) 762-1182.Contact Information
Primary practice address
1710 S 17Th St
Wilmington NC 28401-6442
Phone: (910) 762-1182
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2014-00896 | North Carolina |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 2014-00896 | North Carolina |
Profile Details
| NPI number | 1528057056 |
|---|---|
| LBN Legal business name | Borstad, Gregory Clark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Feb 8th, 2024 - about 9 months 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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