NPI 1497243620
Charles Gordon Borba
Practice location
- Address
- 118 Maple Ave, Bellefontaine, OH 43311-1619
- Phone
- (937) 599-1975
- Fax
- (937) 599-2769
- Mailing address
- PO Box 817, West Liberty, OH 43357-0817
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1497243620
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Apr 2018
- Record last updated
- 24 Apr 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.