Bober, Jorg A

Bober, Jorg A is an sole proprietor health care provider with primary practice located at 1409 Kingsley Ave Suite 9-G, Orange Park FL 32073-4537. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Sports Medicine. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Bober, Jorg A can be contacted via phone (904) 637-0037.

Contact Information

Primary practice address
1409 Kingsley Ave Suite 9-G Orange Park FL 32073-4537
Phone: (904) 637-0037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3942 Florida
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X PO3294 Florida

Profile Details

NPI number 1720108012
LBN Legal business name Bober, Jorg A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
Last updated Mar 1st, 2011 - about 13 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 1720108012 NPPES
Florida Other 6605219 CIGNA
Florida MEDICAID 002908200 CIGNA
Florida Other 65967 CIGNA
Florida Other 6605219 CIGNA
Florida Other PO3294 CIGNA
Florida Other 7923937 CIGNA

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