Provider Demographics
NPI:1578986881
Name:BJERK, JULIE CHRISTINE (DC)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:CHRISTINE
Last Name:BJERK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:CHRISTINE
Other - Last Name:YORK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 717
Mailing Address - Street 2:211 HWY 25
Mailing Address - City:MONTICELLO
Mailing Address - State:MN
Mailing Address - Zip Code:55362
Mailing Address - Country:US
Mailing Address - Phone:763-295-4105
Mailing Address - Fax:763-295-9116
Practice Address - Street 1:211 HWY 25
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MN
Practice Address - Zip Code:55362
Practice Address - Country:US
Practice Address - Phone:763-295-4105
Practice Address - Fax:763-295-9116
Is Sole Proprietor?:No
Enumeration Date:2014-01-23
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5853111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor