Bork, Rhennetta

Bork, Rhennetta is an individual health care provider with primary practice located at 1503 Hatcher Ln Ste 100 , Columbia TN 38401-4833. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Bork, Rhennetta can be contacted via phone (931) 388-9922.

Contact Information

Primary practice address
1503 Hatcher Ln Ste 100 Columbia TN 38401-4833
Phone: (931) 388-9922
Fax: (615) 332-0340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 925 Tennessee
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 925 Tennessee

Profile Details

NPI number 1568923944
LBN Legal business name Bork, Rhennetta
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2019
Last updated Nov 23rd, 2022 - about 4 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 1568923944 NPPES
Tennessee MEDICAID Q075257

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