Burch, Christian G

Burch, Christian G is an individual health care provider with primary practice located at 324 E Roosevelt Rd , Wheaton IL 60187-5563. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Burch, Christian G can be contacted via phone (630) 668-0378.

Contact Information

Primary practice address
324 E Roosevelt Rd Wheaton IL 60187-5563
Fax: (630) 668-1989
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 00304600840301 Illinois

Profile Details

NPI number 1699883033
LBN Legal business name Burch, Christian G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2006
Last updated Oct 3rd, 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 1699883033 NPPES
Illinois Other 2220256 BLUE CROSS BS

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