Bormann, Nicholas Louis
Bormann, Nicholas Louis is an individual health care provider with primary practice located at 404 Fountain St , Albert Lea MN 56007-2406. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bormann, Nicholas Louis can be contacted via phone (507) 373-2384.Contact Information
Primary practice address
404 Fountain St
Albert Lea MN 56007-2406
Phone: (507) 373-2384
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | MD-47108 | Iowa |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 73141 | Minnesota |
Profile Details
| NPI number | 1750879367 |
|---|---|
| LBN Legal business name | Bormann, Nicholas Louis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2018 |
| Last updated | Jun 28th, 2023 - 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 | 1750879367 | NPPES |
| Iowa | MEDICAID | 1750879367 |
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