Bork, Jayme A

Bork, Jayme A is an individual health care provider with primary practice located at Amrtc 3301 7Th Ave N , Anoka MN 55303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bork, Jayme A can be contacted via phone (218) 340-4308.

Contact Information

Primary practice address
Amrtc 3301 7Th Ave N Anoka MN 55303
Phone: (218) 340-4308
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 41816 Minnesota

Profile Details

NPI number 1649357112
LBN Legal business name Bork, Jayme A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 5th, 2019 - about 7 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 1649357112 NPPES
Minnesota MEDICAID 377716200

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