Borcherding, Ronald Leslie
Borcherding, Ronald Leslie is an individual health care provider with primary practice located at 3101 W Kimberly Rd , Davenport IA 52806-3400. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Borcherding, Ronald Leslie can be contacted via phone (563) 445-0152.Contact Information
Primary practice address
3101 W Kimberly Rd
Davenport IA 52806-3400
Phone: (563) 445-0152
Fax: (563) 445-0578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 01611 | Iowa |
Profile Details
| NPI number | 1124014527 |
|---|---|
| LBN Legal business name | Borcherding, Ronald Leslie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1124014527 | NPPES |
| Iowa | MEDICAID | 1433664 |
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