Borton, Mary Joy
Borton, Mary Joy is an individual health care provider with primary practice located at 27477 Highway 64 Suite C, Cornell WI 54732-5222. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Borton, Mary Joy can be contacted via phone (715) 864-5394.Contact Information
Primary practice address
27477 Highway 64 Suite C
Cornell WI 54732-5222
Phone: (715) 864-5394
Fax: (715) 239-0556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10210 | Wisconsin |
Profile Details
| NPI number | 1780716605 |
|---|---|
| LBN Legal business name | Borton, Mary Joy |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Apr 19th, 2010 - about 16 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 | 1780716605 | NPPES |
| Wisconsin | MEDICAID | 40452000 |
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