Bork, Douglas Paul
Bork, Douglas Paul is an individual health care provider with primary practice located at 1795 Grandstand Place , Elgin IL 60123. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bork, Douglas Paul can be contacted via phone (847) 742-1216.Contact Information
Primary practice address
1795 Grandstand Place
Elgin IL 60123
Phone: (847) 742-1216
Fax: (847) 742-2729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1917699 | Illinois |
Profile Details
| NPI number | 1326100314 |
|---|---|
| LBN Legal business name | Bork, Douglas Paul |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 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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