Borgen, Jae
Borgen, Jae is an individual health care provider with primary practice located at 11 4Th St S Apt 103 , Moorhead MN 56560-2608. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Borgen, Jae can be contacted via phone (701) 866-0968.Contact Information
Primary practice address
11 4Th St S Apt 103
Moorhead MN 56560-2608
Phone: (701) 866-0968
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1891214672 |
|---|---|
| LBN Legal business name | Borgen, Jae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2017 |
| Last updated | Sep 13th, 2017 - about 9 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 | 1891214672 | NPPES |
| Minnesota | Other | XZAXZ7694838 | BCBS |
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