Britt Michael Borden Md | |
101 Foundry Dr Ste 1209 West Lafayette IN 47906-3445 | |
(765) 412-5180 | |
Not Available |
Full Name | Britt Michael Borden Md |
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Speciality | Family Medicine |
Location | 101 Foundry Dr Ste 1209, West Lafayette, Indiana |
Authorized Official Name and Position | Britt Michael Borden (OWNER) |
Authorized Official Contact | 7088468888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Britt Michael Borden Md 101 Foundry Dr Ste 1200 West Lafayette IN 47906-3446 Ph: (765) 412-5180 | Britt Michael Borden Md 101 Foundry Dr Ste 1209 West Lafayette IN 47906-3445 Ph: (765) 412-5180 |
NPI Number | 1568242055 |
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Provider Enumeration Date | 10/02/2023 |
Last Update Date | 05/31/2024 |
Medicare PECOS PAC ID | 0244675858 |
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Medicare Enrollment ID | O20240305000936 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568242055 | NPI | - | NPPES |
Provider Name | Britt M Borden |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1841251378 PECOS PAC ID: 0345250668 Enrollment ID: I20160204001367 |
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