Bork, Timothy Douglas
Bork, Timothy Douglas is an sole proprietor health care provider with primary practice located at Psc 836 Box 512 , Fpo AE 09636-0500. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Bork, Timothy Douglas can be contacted via phone 01139095562854.Contact Information
Primary practice address
Psc 836 Box 512
Fpo AE 09636-0500
Phone: 01139095562854
Fax: 01139095566291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1831385749 |
|---|---|
| LBN Legal business name | Bork, Timothy Douglas |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2007 |
| Last updated | Sep 16th, 2008 - about 16 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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