Borden, Michael Christopher

Borden, Michael Christopher is an individual health care provider with primary practice located at 1011 Veterans Memorial Pkwy , East Providence RI 02915-5061. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Borden, Michael Christopher can be contacted via phone (401) 432-1175.

Contact Information

Primary practice address
1011 Veterans Memorial Pkwy East Providence RI 02915-5061
Phone: (401) 432-1175
Fax: (401) 432-1509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS00473 Rhode Island

Profile Details

NPI number 1447297387
LBN Legal business name Borden, Michael Christopher
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Sep 24th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447297387 NPPES
Rhode Island Other 30169-5 BLUE CROSS
Rhode Island Other 407746 BLUE CROSS
Rhode Island Other 61-15754 BLUE CROSS
Rhode Island MEDICAID MB10785 BLUE CROSS

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