Provider Demographics
NPI:1093702482
Name:BJORK, DAVID HARLAN (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:HARLAN
Last Name:BJORK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 BLANCHARD RD
Mailing Address - Street 2:
Mailing Address - City:MONSON
Mailing Address - State:ME
Mailing Address - Zip Code:04464-6600
Mailing Address - Country:US
Mailing Address - Phone:207-997-3590
Mailing Address - Fax:
Practice Address - Street 1:96 HARLOW ST
Practice Address - Street 2:SUITE 310
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-4925
Practice Address - Country:US
Practice Address - Phone:207-262-3210
Practice Address - Fax:207-433-7284
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1301111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEBJMM9524Medicare ID - Type Unspecified
U91196Medicare UPIN