Susan Elaine Borregard in Muncie - Physician Assistant
Susan Elaine Borregard - NPI 1184624801
Susan Elaine Borregard is a Physician Assistant in Muncie, Indiana. Susan Elaine Borregard practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan Elaine Borregard is 1184624801. The last update date is 2021-03-19.
Susan Elaine Borregard's current location address is 2525 W University Ave, Muncie, Indiana. You can contact this provider via phone number 7652895420. The mailing address for Susan Elaine Borregard is 2525 W University Ave, Muncie, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Elaine Borregard |
|---|---|
| Address | 2525 W University Ave, Muncie, Indiana |
| Phone Number | 7652895420 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1184624801 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2021-03-19 |
Provider Mailing Address Detail
| Address | 2525 W University Ave |
|---|---|
| City | Muncie |
| State | Indiana (IN) |
| Post Code | 473033421 |
| Phone Number | 7652895420 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10000623A |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 826050 | IN | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan Elaine Borregard by the Centers for Medicare & Medicaid Services?
The Susan Elaine Borregard has been issued the NPI (National Provider Identifier) 1184624801 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Susan Elaine Borregard's facilities are geographically located?
The facilities of Susan Elaine Borregard are physically situated at the following location: 2525 W University Ave, Muncie, IN, 473033421.
On what date did Susan Elaine Borregard receive its 1184624801 assignment from the Centers for Medicare & Medicaid Services?
The Susan Elaine Borregard was assigned its 1184624801 on 2005-07-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1184624801 to Susan Elaine Borregard?
The Centers for Medicare & Medicaid Services assigned the 1184624801 to Susan Elaine Borregard on 2005-07-22.
As of what date was the information regarding Susan Elaine Borregard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan Elaine Borregard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-19.