Borja, Michael

Borja, Michael is an individual health care provider with primary practice located at 2117 Simonton Rd Suite 402, Statesville NC 28625-8206. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Borja, Michael can be contacted via phone (704) 871-2323.

Contact Information

Primary practice address
2117 Simonton Rd Suite 402 Statesville NC 28625-8206
Phone: (704) 871-2323
Fax: (803) 619-2149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9601146 North Carolina

Profile Details

NPI number 1023125861
LBN Legal business name Borja, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated May 30th, 2013 - about 12 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 1023125861 NPPES
North Carolina Other 3217120 AETNA HMO
North Carolina MEDICAID 891002P AETNA HMO
North Carolina Other 1002P AETNA HMO
North Carolina Other 7904102 AETNA HMO

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