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 |
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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 |
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Provider Enumeration Date | 2007-01-04 |
Last Updated Date | 2014-02-27 |
Provider Mailing Address Detail
Address | 1237 E Parkdale Ave |
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City | Manistee |
State | Michigan (MI) |
Post Code | 496609353 |
Phone Number | 2317238521 |
Fax Number | 2313980478 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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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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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.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA