Bordeau, Kevin Patrick
Bordeau, Kevin Patrick is an individual health care provider with primary practice located at 1145 Bower Hill Rd , Pittsburgh PA 15243-1342. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bordeau, Kevin Patrick can be contacted via phone (412) 572-6194.Contact Information
Primary practice address
1145 Bower Hill Rd
Pittsburgh PA 15243-1342
Phone: (412) 572-6194
Fax: (412) 572-6195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD425640 | Pennsylvania |
Profile Details
| NPI number | 1164421509 |
|---|---|
| LBN Legal business name | Bordeau, Kevin Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Mar 9th, 2021 - 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 | 1164421509 | NPPES |
| Pennsylvania | Other | P00230561 | PALMETTO |
| Pennsylvania | Other | 1545957 | PALMETTO |
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