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Contact Information

BRANDON J BOROM, RDN LMT MBW BSN
885 SPARKS BLVD STE 300
SPARKS, NV89434-7933
 Phone: 775-527-7950
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
 

Kinesiotherapist

226300000X
 

Massage Therapist

225700000X
 

Mechanotherapist

172M00000X
 

Nutrition, Obesity and Weight Management

133VN1201X 71 Registered Dietitian or Nutrition Professional
 

Reflexologist

173C00000X
Indicates primary specialty

NPI Profile & details for BRANDON J BOROM · (Male)

NPI # 1093285850
Status Active
Credentials RDN LMT MBW BSN
Entity Individual
Enumeration date 12/04/2018
Last updated 02/11/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 86177356
  • NV License # NVMT.6268
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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