Borman, Clinton

Borman, Clinton is an individual health care provider with primary practice located at 7707 W Deer Valley Rd Suite 100, Peoria AZ 85382-2101. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Borman, Clinton can be contacted via phone (623) 376-9100.

Contact Information

Primary practice address
7707 W Deer Valley Rd Suite 100 Peoria AZ 85382-2101
Phone: (623) 376-9100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5143 Arizona

Profile Details

NPI number 1851398119
LBN Legal business name Borman, Clinton
Credentials DPT, MTC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jul 8th, 2007 - about 19 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 1851398119 NPPES
Arizona MEDICAID 803660

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