Brian David Bjerke, SOIDC
Military Health Care Provider, Independent Duty Corpsman in Snead'S Ferry, NC. Individual provider (NPI-1).
NPI number1164033197
StatusActive
Last updated in NPPESAug 13, 2020
Details
- NPI
- 1164033197
- Entity type
- Individual (NPI-1)
- Name
- Brian David Bjerke
- Credential
- SOIDC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2020
- Certification date
- Aug 13, 2020
- Last updated
- Aug 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
612 Everrett Creek RoadSnead'S Ferry, NC 28460
Phone 910-440-1947
Mailing address
257 Everett Yopp DrSneads Ferry, NC 28460-9449
Phone 248-835-5470
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