Bork, Jacqueline Toby
Bork, Jacqueline Toby is an individual health care provider with primary practice located at 725 W Lombard St , Baltimore MD 21201-1009. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Bork, Jacqueline Toby can be contacted via phone (410) 706-5651.Contact Information
Primary practice address
725 W Lombard St
Baltimore MD 21201-1009
Phone: (410) 706-5651
Fax: (410) 706-4619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 255522 | New York |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | D77174 | Maryland |
Profile Details
| NPI number | 1881853539 |
|---|---|
| LBN Legal business name | Bork, Jacqueline Toby |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2008 |
| Last updated | Oct 10th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881853539 | NPPES |
| Maryland | MEDICAID | 902504900 | |
| Maryland | Other | S062-0553 |
Popular Providers
-
Berg, Richard Albert
2700 Quarry Lake Drive Suite 260, Baltimore MD 21209 -
Chen, Wilbur H.
22 S Greene St , Baltimore MD 21201-1544 -
Lyke, Kirsten Ellizabeth
22 S Greene St , Baltimore MD 21201-1544 -
Paris, Robert M
22 S Greene St , Baltimore MD 21201-1590 -
Eder, Paul A
200 E 33Rd St Suite 640, Baltimore MD 21218-3322 -
Titanji, Rudolf N
10 N Greene St , Baltimore MD 21201-1524 -
Nwizu, Chidi
22 S Greene St , Baltimore MD 21201-1544 -
Mackowiak, Philip A
10 N Greene St Room 5D143, Baltimore MD 21201-1524