Healthcare Provider Details

I. General information

NPI: 1578986881
Provider Name (Legal Business Name): JULIE CHRISTINE BJERK DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE CHRISTINE YORK DC

II. Dates (important events)

Enumeration Date: 01/23/2014
Last Update Date: 02/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 HWY 25
MONTICELLO MN
55362
US

IV. Provider business mailing address

PO BOX 717 211 HWY 25
MONTICELLO MN
55362
US

V. Phone/Fax

Practice location:
  • Phone: 763-295-4105
  • Fax: 763-295-9116
Mailing address:
  • Phone: 763-295-4105
  • Fax: 763-295-9116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5853
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: