Bjerke, Gregory J
Bjerke, Gregory J is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bjerke, Gregory J can be contacted via phone (701) 234-5123.Contact Information
Primary practice address
801 Broadway N
Fargo ND 58102-3641
Phone: (701) 234-5123
Fax: (701) 234-5124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Toxicology | 207PT0002X | 4428 | North Dakota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4428 | North Dakota |
Profile Details
| NPI number | 1023036753 |
|---|---|
| LBN Legal business name | Bjerke, Gregory J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Apr 6th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023036753 | NPPES |
| North Dakota | MEDICAID | 13616 |
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