Borregard, Susan Elaine

Borregard, Susan Elaine is an individual health care provider with primary practice located at 2525 W University Ave , Muncie IN 47303-3421. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Borregard, Susan Elaine can be contacted via phone (765) 289-5420.

Contact Information

Primary practice address
2525 W University Ave Muncie IN 47303-3421
Phone: (765) 289-5420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000623A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085001844 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10000623A Indiana

Profile Details

NPI number 1184624801
LBN Legal business name Borregard, Susan Elaine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Mar 19th, 2021 - about 4 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 1184624801 NPPES
Indiana Other 000000826050 BCBS

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