Bocklage, Joseph F

Bocklage, Joseph F is an sole proprietor health care provider with primary practice located at 3366 Oakdale Ave N Suite 103, Robbinsdale MN 55422-2948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bocklage, Joseph F can be contacted via phone (763) 520-7870.

Contact Information

Primary practice address
3366 Oakdale Ave N Suite 103 Robbinsdale MN 55422-2948
Fax: (763) 520-7580
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 18979 Minnesota

Profile Details

NPI number 1639180417
LBN Legal business name Bocklage, Joseph F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639180417 NPPES
Minnesota MEDICAID 478277100

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