Burgett, Paul Marcus

Burgett, Paul Marcus is an individual health care provider with primary practice located at 1753 W Ridgeway Ave Ste 107, Waterloo IA 50701-4588. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Burgett, Paul Marcus can be contacted via phone (319) 833-5907.

Contact Information

Primary practice address
1753 W Ridgeway Ave Ste 107 Waterloo IA 50701-4588
Phone: (319) 833-5907
Fax: (319) 833-5908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 32454 Iowa

Profile Details

NPI number 1962456327
LBN Legal business name Burgett, Paul Marcus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Feb 4th, 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 1962456327 NPPES
Iowa Other 45674 WELLMARK INS PLAN
Iowa Other 421417307B8 WELLMARK INS PLAN
Iowa MEDICAID 0177436 WELLMARK INS PLAN

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