Burdett, James T

Burdett, James T is an individual health care provider with primary practice located at 1050 W 10Th St , Rolla MO 65401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Burdett, James T can be contacted via phone (573) 364-9000.

Contact Information

Primary practice address
1050 W 10Th St Rolla MO 65401
Phone: (573) 364-9000
Fax: (573) 426-6694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9853 Nevada

Profile Details

NPI number 1083684179
LBN Legal business name Burdett, James T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083684179 NPPES
Illinois MEDICAID 036118822
Illinois Other 207988
Illinois MEDICAID 100500798
Illinois Other CE9335
Illinois Other P00396911

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