Bork, Joanna

Bork, Joanna is an individual health care provider with primary practice located at 100 E Idaho St Suite 200, Boise ID 83712-6267. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Bork, Joanna can be contacted via phone (208) 381-7081.

Contact Information

Primary practice address
100 E Idaho St Suite 200 Boise ID 83712-6267
Phone: (208) 381-7081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X D-288 Idaho

Profile Details

NPI number 1740605740
LBN Legal business name Bork, Joanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2014
Last updated Feb 27th, 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.

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