Burchell, Del A
Burchell, Del A is an individual health care provider with primary practice located at 334 Thomas More Pkwy , Crestview Hills KY 41017-3464. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Burchell, Del A can be contacted via phone (859) 341-0288.Contact Information
Primary practice address
334 Thomas More Pkwy
Crestview Hills KY 41017-3464
Phone: (859) 341-0288
Fax: (859) 341-7482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 20063 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20063 | Kentucky |
Profile Details
| NPI number | 1619978418 |
|---|---|
| LBN Legal business name | Burchell, Del A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Apr 12th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619978418 | NPPES |
| Other | 021036000 | FEDERAL BLACK LUNG | |
| MEDICAID | 0563466 | FEDERAL BLACK LUNG | |
| Other | 50006693 | FEDERAL BLACK LUNG | |
| MEDICAID | 64200637 | FEDERAL BLACK LUNG | |
| Other | P00922863 | FEDERAL BLACK LUNG | |
| Other | 0420677 | FEDERAL BLACK LUNG | |
| Other | 637091 | FEDERAL BLACK LUNG | |
| Other | 000000044592 | FEDERAL BLACK LUNG |
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