Bork, Erik Kristopher

Bork, Erik Kristopher is an individual health care provider with primary practice located at 8677 N Port Washington Rd , Fox Point WI 53217-2209. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bork, Erik Kristopher can be contacted via phone (414) 351-8482.

Contact Information

Primary practice address
8677 N Port Washington Rd Fox Point WI 53217-2209
Phone: (414) 351-8482
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9931-024 Wisconsin

Profile Details

NPI number 1750334041
LBN Legal business name Bork, Erik Kristopher
Credentials DP T
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 19th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750334041 NPPES
Wisconsin MEDICAID 36109200

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