Individual
MR. BRIAN ALLEN BORCHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7119 MAPLE LN, HORACE, ND 58047-4714
(701) 281-1864
(701) 281-1924
Mailing address
7119 MAPLE LN, HORACE, ND 58047-4714
(701) 281-1864
(701) 281-1924
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1121
ND
2251P0200X
Pediatric Physical Therapist
6775
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23319
ND BLUE CROSS BLUE SHIELD
ND
05
—
51319
—
ND
01
—
64-05520
AETNA
—
01
—
821945
AMERICAS PPO
—
01
—
9075049
PRIVATE HEALTHCARE SYSTEM
—
01
—
HP50726
HEALTH PARTNERS
—
Enumeration date
01/03/2007
Last updated
07/08/2007
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