Bjorklund, Mark D
Bjorklund, Mark D is an individual health care provider with primary practice located at 2010 Industrial Park Rd , Espanola NM 87532-3600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bjorklund, Mark D can be contacted via phone (505) 753-7395.Contact Information
Primary practice address
2010 Industrial Park Rd
Espanola NM 87532-3600
Phone: (505) 753-7395
Fax: (505) 753-8373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 94-191 | New Mexico |
Profile Details
| NPI number | 1215920202 |
|---|---|
| LBN Legal business name | Bjorklund, Mark D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jul 18th, 2016 - about 8 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 | 1215920202 | NPPES |
| New Mexico | Other | NMA100444 | MEDICARE PTAN |
| New Mexico | MEDICAID | F3798 | MEDICARE PTAN |
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