Borello, Dan

Borello, Dan is an individual health care provider with primary practice located at 1532 W 32Nd St Ste 301 , Joplin MO 64804-1607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Borello, Dan can be contacted via phone (417) 347-2525.

Contact Information

Primary practice address
1532 W 32Nd St Ste 301 Joplin MO 64804-1607
Phone: (417) 347-2525
Fax: (417) 347-8991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X R7509 Missouri

Profile Details

NPI number 1912933268
LBN Legal business name Borello, Dan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Jan 26th, 2009 - about 17 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 1912933268 NPPES
Missouri MEDICAID 200113207
Missouri MEDICAID 100198750A
Missouri Other 160052702
Missouri MEDICAID 100143460B
Missouri Other 6058

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