Bordwine, Blayne
Bordwine, Blayne is an individual health care provider with primary practice located at 1200 Childrens Ave , Oklahoma City OK 73104-4637. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Bordwine, Blayne can be contacted via phone (405) 271-4700.Contact Information
Primary practice address
1200 Childrens Ave
Oklahoma City OK 73104-4637
Phone: (405) 271-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 2080H0002X | 215424 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care | 363LP0222X | 215424 | Oklahoma |
Profile Details
| NPI number | 1023898616 |
|---|---|
| LBN Legal business name | Bordwine, Blayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2023 |
| Last updated | Dec 18th, 2024 - about 2 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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