Bjerke, Mark D
Bjerke, Mark D is an individual health care provider with primary practice located at 826 S Hastings Way , Eau Claire WI 54701-3426. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Bjerke, Mark D can be contacted via phone (715) 834-3171.Contact Information
Primary practice address
826 S Hastings Way
Eau Claire WI 54701-3426
Phone: (715) 834-3171
Fax: (715) 834-3174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2294-057 | Wisconsin |
Profile Details
| NPI number | 1659462091 |
|---|---|
| LBN Legal business name | Bjerke, Mark D |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1659462091 | NPPES |
| Wisconsin | MEDICAID | 39132300 |
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