Bjork, Keith D

Bjork, Keith D is an individual health care provider with primary practice located at 1100 S Coulter St , Amarillo TX 79106-1836. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bjork, Keith D can be contacted via phone (806) 468-9700.

Contact Information

Primary practice address
1100 S Coulter St Amarillo TX 79106-1836
Fax: (806) 468-9771
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X H7902 Texas

Profile Details

NPI number 1679510135
LBN Legal business name Bjork, Keith D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 7th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679510135 NPPES
Texas MEDICAID 082477501

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