Bork, David Burton
Bork, David Burton is an individual health care provider with primary practice located at 19020 33Rd Ave W Ste 210 , Lynnwood WA 98036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bork, David Burton can be contacted via phone (425) 563-1500.Contact Information
Primary practice address
19020 33Rd Ave W Ste 210
Lynnwood WA 98036
Phone: (425) 563-1500
Fax: (425) 563-1501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M-12326 | Idaho |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD00017381 | Washington |
Profile Details
| NPI number | 1700864014 |
|---|---|
| LBN Legal business name | Bork, David Burton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Jul 13th, 2018 - about 8 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 | 1700864014 | NPPES |
| Idaho | MEDICAID | 1700864014 | |
| Idaho | Other | 189513 | |
| Idaho | Other | 189514 | |
| Idaho | MEDICAID | 8195000 | |
| Idaho | Other | 189512 |
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