Bork, Randy M
Bork, Randy M is an individual health care provider with primary practice located at 1254 N Main St , Lapeer MI 48446-1343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bork, Randy M can be contacted via phone (810) 664-4531.Contact Information
Primary practice address
1254 N Main St
Lapeer MI 48446-1343
Phone: (810) 664-4531
Fax: (810) 667-7337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101006422 | Michigan |
Profile Details
| NPI number | 1942291893 |
|---|---|
| LBN Legal business name | Bork, Randy M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1942291893 | NPPES |
| Massachusetts | Other | 201542 | MCLAREN HEALTH PLAN |
| Massachusetts | Other | 4133944 | MCLAREN HEALTH PLAN |
| Massachusetts | Other | E26538 | MCLAREN HEALTH PLAN |
| Massachusetts | Other | 0854432194 | MCLAREN HEALTH PLAN |
| Massachusetts | MEDICAID | 3303639 | MCLAREN HEALTH PLAN |
| Massachusetts | Other | E26538 | MCLAREN HEALTH PLAN |
| Massachusetts | Other | 0832195 | MCLAREN HEALTH PLAN |
| Massachusetts | Other | C1516 | MCLAREN HEALTH PLAN |
| Massachusetts | Other | 201542 | MCLAREN HEALTH PLAN |
Popular Providers
-
Coulter, Daniel
944 Baldwin Rd Ste A , Lapeer MI 48446-3089 -
Miranda, Roberto
1508 Dessau Ridge Ln Apt 602 Ste B, Austin TX 78754-2121 -
Smith, Albert
944 Baldwin Rd Ste A, Lapeer MI 48446-3089 -
Wurster, Fred R
1257 N Main St , Lapeer MI 48446-1346 -
Glenn, Brian L
1254 N. Main St , Lapeer MI 48446 -
Piontkowski, Timothy A
944 Baldwin Rd Suite A, Lapeer MI 48446-3089 -
Swanson, Evan Joel
1301 S. Main St. , Ottawa KS 66067 -
Skindell, Roger A
1254 N Main St , Lapeer MI 48446-1343