Burckardt, Elizabeth R.
Burckardt, Elizabeth R. is an individual health care provider with primary practice located at 401 E Chestnut St Unit 690 , Louisville KY 40202-5706. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Burckardt, Elizabeth R. can be contacted via phone (502) 852-5841.Contact Information
Primary practice address
401 E Chestnut St Unit 690
Louisville KY 40202-5706
Phone: (502) 852-5841
Fax: (502) 852-1359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 3005218 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3005216 | Kentucky |
Profile Details
| NPI number | 1386843233 |
|---|---|
| LBN Legal business name | Burckardt, Elizabeth R. |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2007 |
| Last updated | Jun 21st, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386843233 | NPPES |
| Kentucky | Other | 000000626497 | ANTHEM |
| Kentucky | MEDICAID | 7100013980 | ANTHEM |
| Kentucky | Other | 50025465 | ANTHEM |
| Kentucky | Other | P00824827 | ANTHEM |
| Kentucky | Other | 50048427 | ANTHEM |
| Kentucky | Other | 000000642019 | ANTHEM |
| Kentucky | Other | 000028412N | ANTHEM |
| Kentucky | Other | 106198 | ANTHEM |
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