Borgstrom, David C
Borgstrom, David C is an individual health care provider with primary practice located at 1 Medical Center Dr , Morgantown WV 26506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Borgstrom, David C can be contacted via phone (304) 598-4800.Contact Information
Primary practice address
1 Medical Center Dr
Morgantown WV 26506
Phone: (304) 598-4800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 223363 | New York |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 223363 | New York |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 26259 | West Virginia |
Profile Details
| NPI number | 1518921758 |
|---|---|
| LBN Legal business name | Borgstrom, David C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Apr 15th, 2022 - about 3 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 | 1518921758 | NPPES |
| New York | MEDICAID | 02216493 |
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