Sundborg, Michael John

Sundborg, Michael John is an individual health care provider with primary practice located at 145 Applecross Rd , Southern Pines NC 28388-0749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Sundborg, Michael John can be contacted via phone (910) 692-7928.

Contact Information

Primary practice address
145 Applecross Rd Southern Pines NC 28388-0749
Phone: (910) 692-7928
Fax: (910) 692-5962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 2009-00486 North Carolina

Profile Details

NPI number 1508857962
LBN Legal business name Sundborg, Michael John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Dec 13th, 2013 - about 12 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 1508857962 NPPES
North Carolina MEDICAID 5920428

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