Borg, Jacob
Borg, Jacob is an sole proprietor health care provider with primary practice located at 4 Office Park Dr , Palm Coast FL 32137-3855. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Borg, Jacob can be contacted via phone (386) 986-7222.Contact Information
Primary practice address
4 Office Park Dr
Palm Coast FL 32137-3855
Phone: (386) 986-7222
Fax: (386) 401-2414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 004633 | New York |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY8488 | Florida |
Profile Details
| NPI number | 1902157761 |
|---|---|
| LBN Legal business name | Borg, Jacob |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2012 |
| Last updated | Aug 10th, 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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