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
Phone: (760) 725-5538
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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