Kenneth Albert Borenitsch in Manistee - General Practice

Kenneth Albert Borenitsch - NPI 1992852685

Kenneth Albert Borenitsch is a General Practice in Manistee, Michigan. Kenneth Albert Borenitsch practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Albert Borenitsch is 1992852685. The last update date is 2014-02-27.

Kenneth Albert Borenitsch's current location address is 1237 E Parkdale Ave, Manistee, Michigan. You can contact this provider via phone number 2317238521 and fax number 2313980478. The mailing address for Kenneth Albert Borenitsch is 1237 E Parkdale Ave, Manistee, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Albert Borenitsch
Address 1237 E Parkdale Ave, Manistee, Michigan
Phone Number 2317238521
Fax Number 2313980478
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1992852685
Provider Enumeration Date 2007-01-04
Last Updated Date 2014-02-27

Provider Mailing Address Detail

Address 1237 E Parkdale Ave
City Manistee
State Michigan (MI)
Post Code 496609353
Phone Number 2317238521
Fax Number 2313980478

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 5101007441
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15512665 MI BLUE CROSS BLUE SHIELD OF MI
1405970 MI --

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FAQs about Kenneth Albert Borenitsch

What is the unique 10-digit identification code issued to Kenneth Albert Borenitsch by the Centers for Medicare & Medicaid Services?

The Kenneth Albert Borenitsch has been assigned the NPI (National Provider Identifier) 1992852685 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Kenneth Albert Borenitsch is physically located?

The Kenneth Albert Borenitsch is physically situated at the following address: 1237 E Parkdale Ave, Manistee, MI, 496609353.

What is the Kenneth Albert Borenitsch's specialty and taxonomy code?

The Kenneth Albert Borenitsch's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.

When was the Kenneth Albert Borenitsch's 1992852685 issued?

The Kenneth Albert Borenitsch's 1992852685 was issued on 2007-01-04.

As of what date were the details related to Kenneth Albert Borenitsch most recently updated or revised?

The information pertaining to Kenneth Albert Borenitsch, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-27.

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