Boruchow, Scott A
Boruchow, Scott A is an individual health care provider with primary practice located at 11714 Wilson Parke Ave Ste 150 , Austin TX 78726-4061. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Boruchow, Scott A can be contacted via phone (737) 247-7200.Contact Information
Primary practice address
11714 Wilson Parke Ave Ste 150
Austin TX 78726-4061
Phone: (737) 247-7200
Fax: (512) 406-7368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | P5598 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 236439 | Massachusetts |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 236439 | Massachusetts |
Profile Details
| NPI number | 1174772354 |
|---|---|
| LBN Legal business name | Boruchow, Scott A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2008 |
| Last updated | Jun 14th, 2023 - about 2 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 | 1174772354 | NPPES |
| Texas | MEDICAID | 319331001 | |
| Texas | Other | P01331818 |
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