Bornemann, Paul Herbert

Bornemann, Paul Herbert is an sole proprietor health care provider with primary practice located at 145 Sunset Ct Ste 100 , West Columbia SC 29169-2429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bornemann, Paul Herbert can be contacted via phone (803) 739-3550.

Contact Information

Primary practice address
145 Sunset Ct Ste 100 West Columbia SC 29169-2429
Phone: (803) 739-3550
Fax: (803) 739-3546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101243142 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36684 South Carolina

Profile Details

NPI number 1699945451
LBN Legal business name Bornemann, Paul Herbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2008
Last updated Jan 18th, 2024 - about last year

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 1699945451 NPPES
South Carolina MEDICAID 366847

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