Bjork, Nathan R
Bjork, Nathan R is an individual health care provider with primary practice located at 315 N Breiel Blvd , Middletown OH 45042-3868. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Bjork, Nathan R can be contacted via phone (513) 424-0339.Contact Information
Primary practice address
315 N Breiel Blvd
Middletown OH 45042-3868
Phone: (513) 424-0339
Fax: (513) 424-4910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 5104T2003 | Ohio |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5104 T2003 | Ohio |
Profile Details
| NPI number | 1558328617 |
|---|---|
| LBN Legal business name | Bjork, Nathan R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Feb 15th, 2012 - about 14 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 | 1558328617 | NPPES |
| Ohio | Other | 180044530 | RAILROAD MEDICARE |
| Ohio | MEDICAID | 77000313 | RAILROAD MEDICARE |
| Ohio | MEDICAID | 200320880 | RAILROAD MEDICARE |
| Ohio | MEDICAID | 2226308 | RAILROAD MEDICARE |
| Ohio | Other | 651160826029 | RAILROAD MEDICARE |
| Ohio | Other | 00000019393 | RAILROAD MEDICARE |
| Ohio | Other | 000000270789 | RAILROAD MEDICARE |
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