Burchett, Blake R

Burchett, Blake R is an individual health care provider with primary practice located at 4851 Ky Route 321 , Prestonsburg KY 41653-9113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burchett, Blake R can be contacted via phone (606) 886-1173.

Contact Information

Primary practice address
4851 Ky Route 321 Prestonsburg KY 41653-9113
Phone: (606) 886-1173
Fax: (606) 886-2193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24178 Kentucky

Profile Details

NPI number 1750371886
LBN Legal business name Burchett, Blake R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Apr 17th, 2017 - about 9 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 1750371886 NPPES
Kentucky MEDICAID 64241789
Kentucky Other K040031
Kentucky Other 1750371886

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