Bork, Geoffrey Paul

Bork, Geoffrey Paul is an sole proprietor health care provider with primary practice located at 11Th Street Building 16105, Camp Pendleton CA 92005-9200. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bork, Geoffrey Paul can be contacted via phone (760) 725-5538.

Contact Information

Primary practice address
11Th Street Building 16105 Camp Pendleton CA 92005-9200
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 87459 California

Profile Details

NPI number 1720677859
LBN Legal business name Bork, Geoffrey Paul
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2021
Last updated Oct 8th, 2021 - about 3 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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