Borelli, Timothy J
Borelli, Timothy J is an individual health care provider with primary practice located at 6 E Chestnut St , Augusta ME 04330-5717. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Borelli, Timothy J can be contacted via phone (207) 626-4110.Contact Information
Primary practice address
6 E Chestnut St
Augusta ME 04330-5717
Phone: (207) 626-4110
Fax: (207) 622-6078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2008 | Maine |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2008 | Maine |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 2008 | Maine |
Profile Details
| NPI number | 1861567141 |
|---|---|
| LBN Legal business name | Borelli, Timothy J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Oct 16th, 2012 - about 14 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 | 1861567141 | NPPES |
| Maine | MEDICAID | 432720299 | |
| Maine | MEDICAID | 30226140 |
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