Provider Demographics
NPI:1477913291
Name:BORSKI, HELENA
Entity type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:BORSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2716 BROOKHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-5636
Mailing Address - Country:US
Mailing Address - Phone:269-270-3589
Mailing Address - Fax:
Practice Address - Street 1:2004 INVERWAY CT
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-1710
Practice Address - Country:US
Practice Address - Phone:269-312-8733
Practice Address - Fax:269-312-8161
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management