Borgstadt, Mary L

Borgstadt, Mary L is an individual health care provider with primary practice located at 735 12Th St Se , Auburn WA 98002-6709. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Borgstadt, Mary L can be contacted via phone (253) 876-7990.

Contact Information

Primary practice address
735 12Th St Se Auburn WA 98002-6709
Phone: (253) 876-7990
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X RN00157592 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30006913 Washington

Profile Details

NPI number 1407828569
LBN Legal business name Borgstadt, Mary L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated May 6th, 2016 - about 10 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 1407828569 NPPES
Washington MEDICAID 9645029
Washington Other P0026399
Washington Other 7235BO

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