Bork, Michael D
Bork, Michael D is an individual health care provider with primary practice located at 2333 Biddle Ave , Wyandotte MI 48192-4668. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Bork, Michael D can be contacted via phone (734) 246-8895.Contact Information
Primary practice address
2333 Biddle Ave
Wyandotte MI 48192-4668
Phone: (734) 246-8895
Fax: (734) 324-3404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 5101010520 | Michigan |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 5101010520 | Michigan |
Profile Details
| NPI number | 1659342152 |
|---|---|
| LBN Legal business name | Bork, Michael D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Feb 21st, 2017 - about 7 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 | 1659342152 | NPPES |
| Michigan | Other | 382791823 | TAX ID |
| Michigan | Other | 0H24657 | TAX ID |
| Michigan | Other | F67493 | TAX ID |
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