Borak, Elliot Howard
Borak, Elliot Howard is an sole proprietor health care provider with primary practice located at 3719 Dauphin St Ste 5A, Mobile AL 36608-1753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Borak, Elliot Howard can be contacted via phone (251) 414-5900.Contact Information
Primary practice address
3719 Dauphin St Ste 5A
Mobile AL 36608-1753
Phone: (251) 414-5900
Fax: (251) 342-3842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 00007758 | Alabama |
Profile Details
| NPI number | 1265430235 |
|---|---|
| LBN Legal business name | Borak, Elliot Howard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Nov 7th, 2011 - about 15 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 | 1265430235 | NPPES |
| Alabama | MEDICAID | 009932925 | |
| Alabama | Other | 2910053 | |
| Alabama | Other | 051517337 |
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