Individual
JONATHAN A BORCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
222 MAIN ST, BLOOM, KS 67865-8511
(620) 885-4202
(620) 885-4805
Mailing address
PO BOX 127, MINNEOLA, KS 67865-0127
(620) 885-4202
(620) 885-4805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500618
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100340770A
—
KS
05
—
100340770C
—
KS
Enumeration date
10/06/2006
Last updated
03/18/2014
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