Borman, Ted William

Borman, Ted William is an individual health care provider with primary practice located at 1201 S Fort Thomas Ave , Fort Thomas KY 41075-2421. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Borman, Ted William can be contacted via phone (859) 781-5586.

Contact Information

Primary practice address
1201 S Fort Thomas Ave Fort Thomas KY 41075-2421
Phone: (859) 781-5586
Fax: (859) 781-2171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1076 Kentucky

Profile Details

NPI number 1790736916
LBN Legal business name Borman, Ted William
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
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 1790736916 NPPES
Kentucky Other 184607 MEDICARE GROUP NUMBER

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