Provider Demographics
NPI:1922423573
Name:BORSHEIM, JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:BORSHEIM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7114 SHADY OAK RD
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3517
Mailing Address - Country:US
Mailing Address - Phone:952-943-2404
Mailing Address - Fax:952-943-2400
Practice Address - Street 1:7114 SHADY OAK RD
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-3517
Practice Address - Country:US
Practice Address - Phone:952-943-2404
Practice Address - Fax:952-943-2400
Is Sole Proprietor?:No
Enumeration Date:2014-02-19
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5724111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor