Provider Demographics
NPI:1992854426
Name:BOROWSKE, ROB (DC)
Entity Type:Individual
Prefix:DR
First Name:ROB
Middle Name:
Last Name:BOROWSKE
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 1:64 WARREN ST
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-2946
Mailing Address - Country:US
Mailing Address - Phone:802-479-3322
Mailing Address - Fax:
Practice Address - Street 1:64 WARREN ST
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-2946
Practice Address - Country:US
Practice Address - Phone:802-479-3322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006-0000752111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTT87378Medicare UPIN