Borucki, Sally
Borucki, Sally is an individual health care provider with primary practice located at 2401 So 31St Street , Temple TX 76508-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Borucki, Sally can be contacted via phone (254) 724-2111.Contact Information
Primary practice address
2401 So 31St Street
Temple TX 76508-0001
Phone: (254) 724-2111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | H0195 | Texas |
Profile Details
| NPI number | 1225026420 |
|---|---|
| LBN Legal business name | Borucki, Sally |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | May 20th, 2019 - about 5 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 | 1225026420 | NPPES |
| Texas | MEDICAID | 135875608 |
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