Borodofsky, Ted

Borodofsky, Ted is an individual health care provider with primary practice located at 1903 Broadway St , Paducah KY 42001-7105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Borodofsky, Ted can be contacted via phone (270) 442-1671.

Contact Information

Primary practice address
1903 Broadway St Paducah KY 42001-7105
Phone: (270) 442-1671
Fax: (270) 442-7307
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 18831 Kentucky

Profile Details

NPI number 1013984624
LBN Legal business name Borodofsky, Ted
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Oct 25th, 2007 - about 18 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 1013984624 NPPES
Other 000000044965 ANTHEM BCBS
MEDICAID 0470669210 ANTHEM BCBS
MEDICAID 64188311 ANTHEM BCBS

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